Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,090.30 / $7,762.47	Facility		$181.97	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $489.78	Professional		$100.00	$181.97	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $138.04 / $173.78 / $389.05	Professional		$138.04	$173.78	$389.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $6,165.95	Facility		$181.97	$181.97	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $245.47	Professional		$181.97	$181.97	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $53,703.18	Facility		$223.87	$223.87	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $436.52	Professional		$109.65	$204.17	$436.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $426.58	Facility		$102.33	$151.36	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $316.23	Professional		$120.23	$190.55	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $323.59	Professional		$128.82	$186.21	$323.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,412.54	Facility		$389.05	$977.24	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$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 $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $331.13	Professional		$87.10	$154.88	$331.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $426.58	Facility		$100.00	$144.54	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $407.38	Professional		$128.82	$199.53	$407.38