Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,090.30 / $7,762.47	Facility		$109.65	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $457.09	Professional		$70.79	$173.78	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $125.89	Professional		$63.10	$123.03	$125.89
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 / $363.08	Professional		$190.55	$229.09	$363.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,258.93 / $6,165.95	Facility		$102.33	$1,258.93	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $309.03	Professional		$102.33	$102.33	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $123.03 / $3,801.89	Facility		$34.67	$123.03	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $234.42 / $588.84	Professional		$83.18	$234.42	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $275.42	Facility		$72.44	$95.50	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $562.34	Professional		$281.84	$354.81	$562.34
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 / $446.68	Professional		$144.54	$275.42	$446.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Facility		$954.99	$954.99	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $50,118.72 / $75,857.76	Facility		$134.90	$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 $64.57 / $165.96 / $380.19	Professional		$64.57	$165.96	$380.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $169.82	Facility		$58.88	$87.10	$169.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $407.38	Professional		$138.04	$234.42	$407.38