Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $389.05 / $2,454.71	Facility		$60.26	$389.05	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $302.00	Professional		$48.98	$102.33	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $93.33	Professional		$33.88	$50.12	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $229.09	Professional		$66.07	$83.18	$229.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $4,073.80	Facility		$58.88	$58.88	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $114.82	Professional		$58.88	$58.88	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $70.79 / $50,118.72	Facility		$34.67	$70.79	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $288.40	Professional		$50.12	$104.71	$288.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $147.91	Facility		$45.71	$60.26	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $223.87	Professional		$112.20	$154.88	$223.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $177.83	Professional		$72.44	$107.15	$177.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $416.87	Facility		$114.82	$223.87	$416.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $199.53	Professional		$97.72	$97.72	$199.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $50,118.72 / $75,857.76	Facility		$60.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $398.11	Professional		$95.50	$144.54	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $199.53	Professional		$41.69	$81.28	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $223.87	Facility		$33.88	$50.12	$223.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $177.83	Professional		$67.61	$100.00	$177.83