Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,951.21 / $7,943.28	Facility		$223.87	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $588.84	Professional		$117.49	$218.78	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
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 $190.55 / $239.88 / $588.84	Professional		$190.55	$239.88	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $6,165.95	Facility		$223.87	$223.87	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Professional		$223.87	$223.87	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,318.26 / $50,118.72	Facility		$269.15	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $588.84	Professional		$144.54	$269.15	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $524.81	Facility		$144.54	$169.82	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $436.52	Professional		$165.96	$245.47	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $457.09	Professional		$186.21	$263.03	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $1,445.44	Facility		$218.78	$457.09	$1,445.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $295.12	Professional		$251.19	$295.12	$295.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $50,118.72 / $75,857.76	Facility		$151.36	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $398.11	Professional		$288.40	$363.08	$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 $104.71 / $204.17 / $446.68	Professional		$104.71	$204.17	$446.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $457.09	Facility		$131.83	$173.78	$457.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $537.03	Professional		$186.21	$281.84	$537.03