Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,162.28 / $8,511.38	Facility		$251.19	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $630.96	Professional		$154.88	$239.88	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $575.44	Professional		$186.21	$239.88	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,698.24 / $6,165.95	Facility		$251.19	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $371.54	Professional		$251.19	$251.19	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,659.59 / $50,118.72	Facility		$302.00	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $660.69	Professional		$169.82	$309.03	$660.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $199.53 / $478.63	Facility		$54.95	$199.53	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $676.08	Professional		$346.74	$407.38	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $478.63	Professional		$186.21	$281.84	$478.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $50,118.72 / $75,857.76	Facility		$181.97	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $398.11	Professional		$302.00	$389.05	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $489.78	Professional		$123.03	$223.87	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $616.60	Facility		$138.04	$190.55	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $562.34	Professional		$186.21	$302.00	$562.34