Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $3,311.31 / $12,022.64	Facility		$208.93	$3,311.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $457.09	Professional		$128.82	$165.96	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $138.04	Professional		$120.23	$120.23	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $371.54	Professional		$134.90	$165.96	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $4,073.80	Facility		$204.17	$204.17	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $50,118.72	Facility		$34.67	$245.47	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	AS	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $645.65	Professional		$144.54	$223.87	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $512.86	Facility		$134.90	$223.87	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $316.23	Professional		$147.91	$199.53	$316.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $302.00	Professional		$117.49	$190.55	$302.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $371.54	Professional		$165.96	$208.93	$371.54
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 $123.03 / $177.83 / $457.09	Professional		$123.03	$177.83	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $467.74	Facility		$114.82	$169.82	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $426.58	Professional		$114.82	$186.21	$426.58