Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $3,090.30 / $8,128.31	Facility		$147.91	$3,090.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $245.47 / $794.33	Professional		$85.11	$245.47	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $275.42	Professional		$69.18	$91.20	$275.42
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 $213.80 / $251.19 / $588.84	Professional		$213.80	$251.19	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,258.93 / $4,073.80	Facility		$123.03	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $446.68	Professional		$123.03	$123.03	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,023.29 / $4,365.16	Facility		$147.91	$1,023.29	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.00 / $794.33	Professional		$100.00	$302.00	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $288.40	Facility		$89.13	$125.89	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $660.69	Professional		$331.13	$416.87	$660.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $630.96	Professional		$239.88	$389.05	$630.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $5,011.87	Facility		$1,659.59	$2,754.23	$5,011.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $50,118.72 / $75,857.76	Facility		$104.71	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $776.25	Professional		$380.19	$416.87	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $8,128.31	Facility		$1,698.24	$3,715.35	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $223.87 / $537.03	Professional		$75.86	$223.87	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $104.71 / $416.87	Facility		$70.79	$104.71	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $616.60	Professional		$239.88	$354.81	$616.60