Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,290.87 / $7,943.28	Facility		$194.98	$2,290.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $676.08	Professional		$125.89	$213.80	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $223.87	Professional		$151.36	$151.36	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $524.81	Professional		$186.21	$234.42	$524.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,698.24 / $6,165.95	Facility		$218.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Professional		$218.78	$218.78	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,659.59 / $50,118.72	Facility		$263.03	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	22	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $562.34	Professional		$144.54	$269.15	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $537.03	Facility		$162.18	$199.53	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $549.54	Professional		$281.84	$338.84	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $426.58	Professional		$186.21	$251.19	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $3,715.35	Facility		$812.83	$1,862.09	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $50,118.72 / $75,857.76	Facility		$245.47	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $398.11	Professional		$275.42	$354.81	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $4,897.79	Facility		$1,096.48	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $436.52	Professional		$107.15	$199.53	$436.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $724.44	Facility		$123.03	$165.96	$724.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $602.56	Professional		$181.97	$269.15	$602.56