Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $2,041.74 / $7,244.36	Facility		$74.13	$2,041.74	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $257.04	Professional		$48.98	$91.20	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
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 $58.88 / $75.86 / $186.21	Professional		$58.88	$75.86	$186.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $4,073.80	Facility		$77.62	$77.62	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Professional		$77.62	$77.62	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $53,703.18	Facility		$34.67	$93.33	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $218.78	Professional		$54.95	$100.00	$218.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $144.54	Facility		$34.67	$64.57	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $213.80	Professional		$109.65	$131.83	$213.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $158.49	Professional		$67.61	$91.20	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $741.31 / $831.76	Facility		$257.04	$741.31	$831.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $50,118.72 / $75,857.76	Facility		$57.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $398.11	Professional		$97.72	$123.03	$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 $37.15 / $70.79 / $154.88	Professional		$37.15	$70.79	$154.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $199.53	Facility		$45.71	$60.26	$199.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $181.97	Professional		$66.07	$100.00	$181.97