Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,162.28 / $13,489.63	Facility		$1,202.26	$3,162.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,754.23	Professional		$1,174.90	$1,584.89	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,630.27	Professional		$2,238.72	$2,398.83	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,623.41	Facility		$2,818.38	$2,818.38	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $4,786.30	Professional		$1,995.26	$2,041.74	$4,786.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,290.87	Facility		$2,137.96	$2,290.87	$2,290.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,011.87 / $50,118.72	Facility		$1,737.80	$5,011.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,754.23	Professional		$1,258.93	$1,258.93	$2,754.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $10,715.19	Facility		$2,818.38	$4,677.35	$10,715.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $5,370.32	Professional		$1,737.80	$3,019.95	$5,370.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,041.74	Facility		$1,949.84	$1,949.84	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,949.84	Professional		$1,659.59	$1,778.28	$1,949.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $50,118.72 / $75,857.76	Facility		$4,168.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $2,691.53	Professional		$1,819.70	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,162.28 / $3,715.35	Facility		$1,148.15	$3,162.28	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,290.87	Professional		$912.01	$1,479.11	$2,290.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,041.74	Facility		$1,659.59	$1,862.09	$2,041.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,949.84	Professional		$1,659.59	$1,778.28	$1,949.84