Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $5,754.40 / $14,125.38	Facility		$316.23	$5,754.40	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $501.19 / $2,238.72	Professional		$204.17	$501.19	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $199.53	Professional		$165.96	$181.97	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $33,884.42	Facility		$4,786.30	$11,481.54	$33,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $724.44	Professional		$281.84	$338.84	$724.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $16,595.87	Facility		$295.12	$295.12	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $50,118.72	Facility		$34.67	$354.81	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	22	$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	62	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	AS	$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $1,288.25	Professional		$213.80	$331.13	$1,288.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $512.86 / $851.14	Facility		$229.09	$512.86	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $660.69	Professional		$223.87	$302.00	$660.69
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 $181.97 / $263.03 / $436.52	Professional		$181.97	$263.03	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $12,589.25	Facility		$870.96	$3,548.13	$12,589.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $501.19	Professional		$204.17	$302.00	$501.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $50,118.72 / $75,857.76	Facility		$223.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $537.03	Professional		$257.04	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $776.25	Professional		$177.83	$288.40	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $977.24	Facility		$165.96	$346.74	$977.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $562.34	Professional		$165.96	$263.03	$562.34