Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,311.31 / $9,120.11	Facility		$426.58	$3,311.31	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,412.54	Professional		$302.00	$489.78	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
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 $371.54 / $467.74 / $1,047.13	Professional		$371.54	$467.74	$1,047.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,698.24 / $6,165.95	Facility		$426.58	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Professional		$426.58	$426.58	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $50,118.72	Facility		$524.81	$524.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,479.11	Professional		$323.59	$575.44	$1,479.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $831.76	Facility		$199.53	$354.81	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,071.52	Professional		$537.03	$741.31	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $912.01	Professional		$354.81	$562.34	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $4,897.79	Facility		$1,513.56	$2,570.40	$4,897.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $50,118.72 / $75,857.76	Facility		$331.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,174.90	Professional		$398.11	$575.44	$1,174.90
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 $281.84 / $446.68 / $1,122.02	Professional		$281.84	$446.68	$1,122.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $1,348.96	Facility		$251.19	$371.54	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $977.24	Professional		$354.81	$537.03	$977.24