Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,818.38 / $7,585.78	Facility		$165.96	$2,818.38	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $257.04 / $912.01	Professional		$104.71	$257.04	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $257.04	Professional		$102.33	$125.89	$257.04
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 $208.93 / $257.04 / $676.08	Professional		$208.93	$257.04	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,258.93 / $4,073.80	Facility		$151.36	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $380.19	Professional		$151.36	$151.36	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $181.97 / $50,118.72	Facility		$34.67	$181.97	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $302.00 / $812.83	Professional		$120.23	$302.00	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $363.08	Facility		$95.50	$120.23	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $933.25	Professional		$316.23	$457.09	$933.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $549.54	Professional		$218.78	$331.13	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,445.44 / $3,235.94	Facility		$354.81	$1,445.44	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $371.54	Professional		$151.36	$371.54	$371.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $50,118.72 / $75,857.76	Facility		$131.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $588.84	Professional		$302.00	$398.11	$588.84
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 $104.71 / $239.88 / $588.84	Professional		$104.71	$239.88	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $234.42	Facility		$87.10	$125.89	$234.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $549.54	Professional		$204.17	$275.42	$549.54