Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,630.27 / $7,413.10	Facility		$186.21	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $758.58	Professional		$125.89	$245.47	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $380.19	Professional		$190.55	$371.54	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $363.08	Professional		$154.88	$181.97	$363.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $4,073.80	Facility		$181.97	$181.97	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $7,079.46	Facility		$34.67	$208.93	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $660.69	Professional		$141.25	$269.15	$660.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $436.52	Facility		$120.23	$162.18	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $524.81	Professional		$263.03	$331.13	$524.81
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 / $275.42 / $436.52	Professional		$144.54	$275.42	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $4,570.88	Facility		$2,238.72	$3,235.94	$4,570.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $269.15	Professional		$177.83	$269.15	$269.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50,118.72 / $75,857.76	Facility		$47.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $549.54	Professional		$234.42	$281.84	$549.54
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 $109.65 / $186.21 / $416.87	Professional		$109.65	$186.21	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $218.78	Facility		$100.00	$147.91	$218.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $416.87	Professional		$151.36	$245.47	$416.87