Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,884.03 / $7,762.47	Facility		$239.88	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $524.81	Professional		$134.90	$223.87	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
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 $194.98 / $251.19 / $562.34	Professional		$194.98	$251.19	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $6,165.95	Facility		$234.42	$234.42	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Professional		$234.42	$234.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,318.26 / $50,118.72	Facility		$281.84	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $602.56	Professional		$151.36	$275.42	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $549.54	Facility		$154.88	$186.21	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $457.09	Professional		$165.96	$245.47	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $467.74	Professional		$194.98	$275.42	$467.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,089.30 / $2,290.87	Facility		$933.25	$2,089.30	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $309.03	Professional		$257.04	$302.00	$309.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $50,118.72 / $75,857.76	Facility		$173.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $398.11	Professional		$295.12	$380.19	$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 $112.20 / $213.80 / $467.74	Professional		$112.20	$213.80	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $501.19	Facility		$138.04	$181.97	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $602.56	Professional		$194.98	$295.12	$602.56