Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,311.31 / $8,912.51	Facility		$131.83	$3,311.31	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $263.03 / $1,348.96	Professional		$93.33	$263.03	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $1,445.44 / $1,445.44	Professional		$74.13	$1,445.44	$1,445.44
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 $602.56 / $724.44 / $1,174.90	Professional		$602.56	$724.44	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $6,165.95	Facility		$134.90	$134.90	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $912.01	Professional		$134.90	$134.90	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $158.49 / $50,118.72	Facility		$34.67	$158.49	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $407.38 / $1,621.81	Professional		$97.72	$407.38	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $295.12	Facility		$91.20	$120.23	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,479.11	Professional		$831.76	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Facility		$151.36	$151.36	$158.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $1,380.38	Professional		$426.58	$954.99	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Professional		$123.03	$123.03	$177.83
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 $776.25 / $933.25 / $1,737.80	Professional		$776.25	$933.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,801.89 / $8,317.64	Facility		$1,778.28	$3,801.89	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $457.09 / $1,202.26	Professional		$89.13	$457.09	$1,202.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $316.23	Facility		$75.86	$151.36	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $758.58 / $1,318.26	Professional		$251.19	$758.58	$1,318.26