Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $2,041.74 / $7,244.36	Facility		$109.65	$2,041.74	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $371.54	Professional		$64.57	$134.90	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
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 $93.33 / $120.23 / $309.03	Professional		$93.33	$120.23	$309.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $6,165.95	Facility		$102.33	$102.33	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $186.21	Professional		$102.33	$102.33	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $125.89 / $53,703.18	Facility		$34.67	$125.89	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $309.03	Professional		$70.79	$147.91	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $281.84	Facility		$87.10	$125.89	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $380.19	Professional		$194.98	$229.09	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $245.47	Professional		$104.71	$147.91	$245.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $812.83	Facility		$316.23	$457.09	$812.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $50,118.72 / $75,857.76	Facility		$134.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $398.11	Professional		$151.36	$199.53	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $239.88	Professional		$52.48	$107.15	$239.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $478.63	Facility		$58.88	$77.62	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $398.11	Professional		$104.71	$154.88	$398.11