Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $3,090.30 / $8,709.64	Facility		$120.23	$3,090.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $436.52	Professional		$79.43	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $316.23	Professional		$38.90	$75.86	$316.23
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 / $316.23	Professional		$154.88	$181.97	$316.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,258.93 / $4,073.80	Facility		$117.49	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $245.47	Professional		$117.49	$117.49	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,023.29 / $4,365.16	Facility		$141.25	$1,023.29	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $524.81	Professional		$91.20	$204.17	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $269.15	Facility		$83.18	$123.03	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $389.05	Professional		$194.98	$245.47	$389.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $363.08	Professional		$144.54	$223.87	$363.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,786.30	Facility		$1,698.24	$2,511.89	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $199.53	Professional		$75.86	$102.33	$199.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $50,118.72 / $75,857.76	Facility		$93.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $457.09	Professional		$204.17	$338.84	$457.09
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 $70.79 / $147.91 / $354.81	Professional		$70.79	$147.91	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $380.19	Facility		$66.07	$97.72	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $363.08	Professional		$141.25	$208.93	$363.08