Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,090.30 / $8,511.38	Facility		$346.74	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $912.01	Professional		$239.88	$354.81	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $616.60	Professional		$229.09	$288.40	$616.60
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 $302.00 / $354.81 / $645.65	Professional		$302.00	$354.81	$645.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,698.24 / $6,165.95	Facility		$346.74	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $478.63	Professional		$346.74	$346.74	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,412.54 / $5,011.87	Facility		$407.38	$1,412.54	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $1,000.00	Professional		$257.04	$446.68	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $870.96	Facility		$239.88	$302.00	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $776.25	Professional		$398.11	$489.78	$776.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $707.95	Professional		$263.03	$426.58	$707.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $5,248.07	Facility		$3,019.95	$3,019.95	$5,248.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $50,118.72 / $75,857.76	Facility		$346.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $891.25	Professional		$398.11	$446.68	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $8,709.64	Facility		$1,698.24	$3,890.45	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $741.31	Professional		$204.17	$316.23	$741.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $933.25	Facility		$199.53	$295.12	$933.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $724.44	Professional		$275.42	$407.38	$724.44