Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,630.27 / $7,413.10	Facility		$165.96	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $489.78	Professional		$107.15	$204.17	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
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 $190.55 / $229.09 / $354.81	Professional		$190.55	$229.09	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $6,165.95	Facility		$154.88	$154.88	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $295.12	Professional		$154.88	$154.88	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $3,801.89	Facility		$34.67	$186.21	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $645.65	Professional		$120.23	$251.19	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $128.82 / $288.40	Facility		$50.12	$128.82	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $512.86	Professional		$263.03	$331.13	$512.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $436.52	Professional		$144.54	$269.15	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $537.03	Facility		$141.25	$239.88	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $537.03	Professional		$234.42	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,511.89 / $4,897.79	Facility		$707.95	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $398.11	Professional		$93.33	$169.82	$398.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $131.83 / $380.19	Facility		$89.13	$131.83	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $416.87	Professional		$144.54	$245.47	$416.87