Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $3,019.95 / $7,413.10	Facility		$144.54	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $478.63	Professional		$81.28	$177.83	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
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 $158.49 / $199.53 / $524.81	Professional		$158.49	$199.53	$524.81
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 / $251.19	Professional		$123.03	$123.03	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $50,118.72	Facility		$158.49	$158.49	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $660.69	Professional		$95.50	$218.78	$660.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $331.13	Facility		$91.20	$114.82	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $512.86	Professional		$251.19	$346.74	$512.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $389.05	Professional		$158.49	$234.42	$389.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $524.81	Professional		$223.87	$331.13	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $457.09	Professional		$83.18	$186.21	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $398.11	Facility		$74.13	$104.71	$398.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $389.05	Professional		$147.91	$213.80	$389.05