Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,818.38 / $7,585.78	Facility		$234.42	$2,818.38	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $457.09	Professional		$147.91	$213.80	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,772.37	Facility		$2,630.27	$4,786.30	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $398.11	Professional		$194.98	$229.09	$398.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,698.24 / $6,165.95	Facility		$218.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $316.23	Professional		$218.78	$218.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $257.04 / $7,943.28	Facility		$34.67	$257.04	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $691.83	Professional		$162.18	$288.40	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $467.74	Facility		$112.20	$194.98	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $562.34	Professional		$288.40	$354.81	$562.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $457.09	Professional		$173.78	$281.84	$457.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $295.12	Professional		$204.17	$295.12	$295.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $562.34	Professional		$263.03	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $6,165.95	Facility		$1,348.96	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $467.74	Professional		$131.83	$204.17	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $398.11	Facility		$123.03	$181.97	$398.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $446.68	Professional		$173.78	$257.04	$446.68