Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,388.44 / $9,120.11	Facility		$389.05	$3,388.44	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $891.25	Professional		$263.03	$354.81	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $794.33	Professional		$251.19	$309.03	$794.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,995.26 / $8,912.51	Facility		$398.11	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $446.68	Professional		$398.11	$398.11	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $50,118.72	Facility		$478.63	$478.63	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $1,174.90	Professional		$288.40	$467.74	$1,174.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $281.84 / $691.83	Facility		$64.57	$281.84	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $724.44	Professional		$363.08	$512.86	$724.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $676.08	Professional		$275.42	$416.87	$676.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $50,118.72 / $75,857.76	Facility		$323.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $851.14	Professional		$371.54	$426.58	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $891.25	Professional		$251.19	$371.54	$891.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $1,202.26	Facility		$229.09	$338.84	$1,202.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $741.31	Professional		$269.15	$407.38	$741.31