Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,548.13 / $9,332.54	Facility		$630.96	$3,548.13	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $1,318.26	Professional		$281.84	$616.60	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $245.47	Professional		$114.82	$229.09	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $1,621.81	Professional		$316.23	$398.11	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $8,912.51	Facility		$794.33	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,000.00	Professional		$794.33	$794.33	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $50,118.72	Facility		$446.68	$446.68	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $812.83 / $2,137.96	Professional		$309.03	$812.83	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $245.47 / $602.56	Facility		$50.12	$245.47	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $831.76	Professional		$426.58	$602.56	$831.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $794.33	Professional		$346.74	$524.81	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $794.33	Professional		$575.44	$575.44	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,230.27	Professional		$398.11	$831.76	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $1,862.09	Professional		$380.19	$724.44	$1,862.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $2,630.27	Facility		$208.93	$309.03	$2,630.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,023.29	Professional		$309.03	$501.19	$1,023.29