Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $2,511.89	Facility		$70.79	$120.23	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $309.03	Professional		$58.88	$93.33	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $117.49	Professional		$77.62	$79.43	$117.49
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 $63.10 / $79.43 / $213.80	Professional		$63.10	$79.43	$213.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $6,165.95	Facility		$81.28	$81.28	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $50,118.72	Facility		$34.67	$100.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $288.40	Professional		$64.57	$109.65	$288.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $162.18	Facility		$39.81	$66.07	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $204.17	Professional		$102.33	$141.25	$204.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $173.78	Professional		$70.79	$107.15	$173.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $112.20	Professional		$85.11	$95.50	$112.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $50,118.72 / $75,857.76	Facility		$67.61	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $398.11	Professional		$93.33	$141.25	$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 $54.95 / $85.11 / $208.93	Professional		$54.95	$85.11	$208.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $70.79 / $302.00	Facility		$47.86	$70.79	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $208.93	Professional		$67.61	$97.72	$208.93