Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,818.38 / $7,413.10	Facility		$154.88	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $562.34	Professional		$104.71	$199.53	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $177.83	Professional		$91.20	$158.49	$177.83
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 $131.83 / $154.88 / $323.59	Professional		$131.83	$154.88	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $4,073.80	Facility		$151.36	$151.36	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $263.03	Professional		$151.36	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $3,801.89	Facility		$181.97	$181.97	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $602.56	Professional		$120.23	$234.42	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $114.82 / $257.04	Facility		$50.12	$114.82	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $426.58	Professional		$218.78	$269.15	$426.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $398.11	Professional		$138.04	$245.47	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,290.87	Facility		$1,071.52	$1,513.56	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $50,118.72 / $75,857.76	Facility		$114.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $489.78	Professional		$208.93	$316.23	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $4,897.79	Facility		$851.14	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $363.08	Professional		$91.20	$154.88	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $489.78	Facility		$87.10	$128.82	$489.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $389.05	Professional		$138.04	$223.87	$389.05