Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,884.03 / $7,943.28	Facility		$63.10	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $95.50 / $346.74	Professional		$38.02	$95.50	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
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 $93.33 / $117.49 / $281.84	Professional		$93.33	$117.49	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $4,073.80	Facility		$60.26	$60.26	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $151.36	Professional		$60.26	$60.26	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $72.44 / $50,118.72	Facility		$34.67	$72.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $151.36 / $398.11	Professional		$51.29	$151.36	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $138.04	Facility		$34.67	$45.71	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $199.53	Professional		$102.33	$134.90	$199.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $213.80	Professional		$89.13	$125.89	$213.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,290.87 / $2,454.71	Facility		$147.91	$2,290.87	$2,454.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50,118.72 / $75,857.76	Facility		$46.77	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $398.11	Professional		$131.83	$162.18	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $6,165.95	Facility		$1,513.56	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $79.43 / $229.09	Professional		$30.90	$79.43	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.67 / $169.82	Facility		$33.88	$44.67	$169.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $208.93	Professional		$81.28	$107.15	$208.93