Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,951.21 / $7,762.47	Facility		$295.12	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $691.83	Professional		$173.78	$269.15	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $660.69	Professional		$229.09	$295.12	$660.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $6,165.95	Facility		$295.12	$295.12	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Professional		$295.12	$295.12	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,318.26 / $50,118.72	Facility		$354.81	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $741.31	Professional		$181.97	$323.59	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $229.09 / $676.08	Facility		$190.55	$229.09	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $676.08	Professional		$346.74	$416.87	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $549.54	Professional		$223.87	$316.23	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $50,118.72 / $75,857.76	Facility		$199.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $446.68	Professional		$346.74	$398.11	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,165.95	Facility		$1,621.81	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $562.34	Professional		$138.04	$263.03	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $602.56	Facility		$165.96	$223.87	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $691.83	Professional		$223.87	$346.74	$691.83