Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,630.27 / $12,022.64	Facility		$91.20	$2,630.27	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $354.81	Professional		$56.23	$112.20	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $199.53 / $1,071.52	Professional	50	$141.25	$199.53	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
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 $77.62 / $95.50 / $302.00	Professional		$77.62	$95.50	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $144.54 / $457.09	Professional	50	$117.49	$144.54	$457.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $4,073.80	Facility		$75.86	$75.86	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Professional		$75.86	$75.86	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $50,118.72	Facility		$34.67	$109.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $380.19	Professional		$64.57	$128.82	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $229.09	Facility		$70.79	$87.10	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $245.47	Professional		$79.43	$147.91	$245.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $2,630.27	Facility		$389.05	$501.19	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $50,118.72 / $75,857.76	Facility		$72.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $398.11	Professional		$107.15	$162.18	$398.11
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 $52.48 / $97.72 / $263.03	Professional		$52.48	$97.72	$263.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $331.13	Facility		$51.29	$74.13	$331.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $263.03	Professional		$79.43	$134.90	$263.03