Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $3,090.30 / $7,762.47	Facility		$85.11	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $660.69	Professional		$56.23	$177.83	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $38.02	Professional		$35.48	$35.48	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $602.56	Professional		$181.97	$229.09	$602.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,258.93 / $4,073.80	Facility		$81.28	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $338.84	Professional		$81.28	$81.28	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $50,118.72	Facility		$97.72	$97.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $218.78 / $707.95	Professional		$60.26	$218.78	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.28 / $194.98	Facility		$58.88	$81.28	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $478.63	Professional		$239.88	$338.84	$478.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Professional		$194.98	$275.42	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $5,248.07	Facility		$1,698.24	$3,235.94	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $50,118.72 / $75,857.76	Facility		$66.07	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $537.03	Professional		$275.42	$389.05	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $194.98 / $467.74	Professional		$53.70	$194.98	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $67.61 / $302.00	Facility		$45.71	$67.61	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $446.68	Professional		$177.83	$245.47	$446.68