Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,019.95 / $7,762.47	Facility		$467.74	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $1,380.38	Professional		$257.04	$630.96	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
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 $562.34 / $660.69 / $1,258.93	Professional		$562.34	$660.69	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,698.24 / $6,165.95	Facility		$363.08	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,023.29	Professional		$363.08	$363.08	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,412.54 / $43,651.58	Facility		$436.52	$1,412.54	$43,651.58
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $691.83 / $1,737.80	Professional		$295.12	$691.83	$1,737.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $870.96	Facility		$263.03	$363.08	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,445.44	Professional		$478.63	$776.25	$1,445.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,380.38	Professional		$549.54	$870.96	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $4,570.88	Facility		$1,548.82	$4,466.84	$4,570.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $457.09	Professional		$239.88	$446.68	$457.09
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 / $912.01 / $1,584.89	Professional		$398.11	$912.01	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $1,288.25	Professional		$223.87	$562.34	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $2,041.74	Facility		$208.93	$371.54	$2,041.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,412.54	Professional		$537.03	$870.96	$1,412.54