Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,344.23 / $7,413.10	Facility		$151.36	$2,344.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $426.58	Professional		$102.33	$173.78	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $165.96	Professional		$158.49	$158.49	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $371.54	Professional		$117.49	$147.91	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $4,073.80	Facility		$165.96	$165.96	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $239.88	Professional		$165.96	$165.96	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $53,703.18	Facility		$34.67	$199.53	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $426.58	Professional		$114.82	$199.53	$426.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $302.00	Facility		$75.86	$134.90	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $398.11	Professional		$204.17	$245.47	$398.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $316.23	Professional		$120.23	$181.97	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,754.23 / $5,011.87	Facility		$524.81	$2,754.23	$5,011.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $416.87	Professional		$169.82	$169.82	$416.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $398.11	Professional		$199.53	$257.04	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $323.59	Professional		$81.28	$147.91	$323.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $380.19	Facility		$93.33	$128.82	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $380.19	Professional		$120.23	$194.98	$380.19