Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,162.28 / $4,466.84	Facility		$1,445.44	$3,162.28	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,630.78	Professional		$1,698.24	$2,187.76	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $8,128.31	Facility		$3,981.07	$3,981.07	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $7,079.46	Professional		$2,951.21	$2,951.21	$7,079.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,311.31 / $3,311.31	Facility		$3,090.30	$3,311.31	$3,311.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,244.36 / $50,118.72	Facility		$2,454.71	$7,244.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,981.07	Professional		$1,819.70	$1,819.70	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,606.93 / $15,488.17	Facility		$3,981.07	$6,606.93	$15,488.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $7,762.47	Professional		$2,511.89	$4,265.80	$7,762.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,951.21	Facility		$2,818.38	$2,818.38	$2,951.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,818.38	Professional		$2,398.83	$2,511.89	$2,818.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $50,118.72 / $75,857.76	Facility		$6,025.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,890.45 / $3,890.45	Professional		$2,630.27	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,570.88 / $5,370.32	Facility		$1,621.81	$4,570.88	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,311.31	Professional		$1,318.26	$2,137.96	$3,311.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,951.21	Facility		$2,398.83	$2,630.27	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,818.38	Professional		$2,398.83	$2,511.89	$2,818.38