Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $7,943.28	Facility		$562.34	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,698.24	Professional		$323.59	$660.69	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
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 $512.86 / $660.69 / $1,698.24	Professional		$512.86	$660.69	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $6,165.95	Facility		$501.19	$501.19	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $954.99	Professional		$501.19	$501.19	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $50,118.72	Facility		$34.67	$602.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,513.56	Professional		$346.74	$691.83	$1,513.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $1,096.48	Facility		$331.13	$398.11	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $602.56 / $1,202.26	Professional		$223.87	$602.56	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,258.93	Professional		$537.03	$724.44	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,659.59 / $1,949.84	Facility		$426.58	$1,659.59	$1,949.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $977.24	Professional		$724.44	$794.33	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $50,118.72 / $75,857.76	Facility		$371.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $977.24	Professional		$724.44	$870.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $1,122.02	Professional		$251.19	$501.19	$1,122.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $1,096.48	Facility		$288.40	$380.19	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,230.27	Professional		$537.03	$707.95	$1,230.27