Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,162.28 / $8,128.31	Facility		$346.74	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $831.76	Professional		$194.98	$309.03	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
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 $245.47 / $316.23 / $776.25	Professional		$245.47	$316.23	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,698.24 / $6,165.95	Facility		$331.13	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $512.86	Professional		$331.13	$331.13	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,659.59 / $50,118.72	Facility		$389.05	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $891.25	Professional		$234.42	$416.87	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $724.44	Facility		$177.83	$245.47	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $794.33	Professional		$416.87	$489.78	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $660.69	Professional		$257.04	$380.19	$660.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $2,089.30	Facility		$426.58	$426.58	$2,089.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $426.58	Professional		$275.42	$416.87	$426.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $50,118.72 / $75,857.76	Facility		$239.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $524.81	Professional		$398.11	$416.87	$524.81
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 $158.49 / $295.12 / $645.65	Professional		$158.49	$295.12	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $812.83	Facility		$186.21	$245.47	$812.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $741.31	Professional		$257.04	$407.38	$741.31