Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,818.38 / $7,413.10	Facility		$186.21	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $549.54	Professional		$93.33	$173.78	$549.54
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	22	$794.33	$794.33	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $154.88	Professional		$138.04	$154.88	$154.88
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 $112.20 / $147.91 / $363.08	Professional		$112.20	$147.91	$363.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $4,073.80	Facility		$138.04	$138.04	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $234.42	Professional		$138.04	$138.04	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $53,703.18	Facility		$34.67	$165.96	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $380.19	Professional		$97.72	$186.21	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $316.23	Facility		$95.50	$144.54	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $371.54	Professional		$190.55	$229.09	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $309.03	Professional		$134.90	$181.97	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $194.98	Professional		$141.25	$165.96	$194.98
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 $181.97 / $234.42 / $398.11	Professional		$181.97	$234.42	$398.11
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 $66.07 / $131.83 / $288.40	Professional		$66.07	$131.83	$288.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $616.60	Facility		$79.43	$104.71	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $398.11	Professional		$131.83	$194.98	$398.11