Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,090.30 / $9,120.11	Facility		$288.40	$3,090.30	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $1,000.00	Professional		$208.93	$316.23	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Professional		$251.19	$251.19	$263.03
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 $208.93 / $269.15 / $741.31	Professional		$208.93	$269.15	$741.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,258.93 / $4,073.80	Facility		$269.15	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Professional		$269.15	$269.15	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,318.26 / $50,118.72	Facility		$316.23	$1,318.26	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	AS	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $323.59 / $794.33	Professional		$158.49	$323.59	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $660.69	Facility		$204.17	$263.03	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $467.74	Professional		$239.88	$346.74	$467.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $407.38	Professional		$186.21	$263.03	$407.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,786.30	Facility		$1,584.89	$2,691.53	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $398.11	Professional		$281.84	$338.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $588.84	Professional		$190.55	$275.42	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $741.31	Facility		$151.36	$239.88	$741.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $707.95	Professional		$173.78	$269.15	$707.95