Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,818.38 / $7,413.10	Facility		$144.54	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $446.68	Professional		$79.43	$158.49	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $123.03 / $158.49 / $346.74	Professional		$123.03	$158.49	$346.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $4,073.80	Facility		$147.91	$147.91	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Professional		$147.91	$147.91	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $53,703.18	Facility		$177.83	$177.83	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $398.11	Professional		$95.50	$173.78	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $323.59	Facility		$79.43	$117.49	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $281.84	Professional		$97.72	$162.18	$281.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $288.40	Professional		$112.20	$169.82	$288.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $2,398.83	Facility		$436.52	$549.54	$2,398.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $288.40	Professional		$154.88	$181.97	$288.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $398.11	Professional		$177.83	$229.09	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $4,897.79	Facility		$954.99	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $281.84	Professional		$69.18	$128.82	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $323.59	Facility		$83.18	$114.82	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $338.84	Professional		$112.20	$181.97	$338.84