Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,818.38 / $7,413.10	Facility		$125.89	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $478.63	Professional		$74.13	$141.25	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $147.91	Professional		$131.83	$131.83	$147.91
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 $89.13 / $117.49 / $295.12	Professional		$89.13	$117.49	$295.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $4,073.80	Facility		$112.20	$112.20	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $53,703.18	Facility		$34.67	$141.25	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $316.23	Professional		$74.13	$141.25	$316.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $281.84	Facility		$75.86	$93.33	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $295.12	Professional		$151.36	$181.97	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $245.47	Professional		$97.72	$144.54	$245.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $162.18 / $2,290.87	Facility		$50.12	$162.18	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $173.78	Professional		$120.23	$138.04	$173.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $50,118.72 / $75,857.76	Facility		$79.43	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $398.11	Professional		$151.36	$194.98	$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 $54.95 / $107.15 / $234.42	Professional		$54.95	$107.15	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $245.47	Facility		$67.61	$89.13	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $281.84	Professional		$97.72	$154.88	$281.84