Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,630.27 / $7,244.36	Facility		$91.20	$2,630.27	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $309.03	Professional		$67.61	$123.03	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
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 $69.18 / $89.13 / $199.53	Professional		$69.18	$89.13	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $4,073.80	Facility		$104.71	$104.71	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $53,703.18	Facility		$128.82	$128.82	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $245.47	Professional		$56.23	$107.15	$245.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $190.55	Facility		$46.77	$81.28	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $208.93	Professional		$107.15	$128.82	$208.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $169.82	Professional		$64.57	$100.00	$169.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $426.58	Facility		$50.12	$50.12	$426.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $134.90	Professional		$87.10	$97.72	$134.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $50,118.72 / $75,857.76	Facility		$67.61	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $398.11	Professional		$102.33	$131.83	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $181.97	Professional		$46.77	$85.11	$181.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $83.18 / $213.80	Facility		$53.70	$83.18	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $218.78	Professional		$64.57	$107.15	$218.78