Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,951.21 / $9,120.11	Facility		$263.03	$2,951.21	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $645.65	Professional		$151.36	$257.04	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $218.78 / $275.42 / $630.96	Professional		$218.78	$275.42	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $6,165.95	Facility		$269.15	$269.15	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $398.11	Professional		$269.15	$269.15	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,318.26 / $50,118.72	Facility		$323.59	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $691.83	Professional		$165.96	$309.03	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $630.96	Facility		$158.49	$204.17	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $630.96	Professional		$323.59	$389.05	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $512.86	Professional		$208.93	$302.00	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $812.83 / $2,290.87	Facility		$177.83	$812.83	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $338.84	Professional		$257.04	$331.13	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $50,118.72 / $75,857.76	Facility		$181.97	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $416.87	Professional		$323.59	$398.11	$416.87
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 $125.89 / $239.88 / $524.81	Professional		$125.89	$239.88	$524.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $501.19	Facility		$154.88	$208.93	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $660.69	Professional		$208.93	$323.59	$660.69