Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,951.21 / $10,471.29	Facility		$165.96	$2,951.21	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $467.74	Professional		$97.72	$169.82	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Professional		$154.88	$154.88	$158.49
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 $141.25 / $173.78 / $371.54	Professional		$141.25	$173.78	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $4,073.80	Facility		$151.36	$151.36	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $208.93	Professional		$151.36	$151.36	$208.93
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 / $208.93 / $602.56	Professional		$120.23	$208.93	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $380.19	Facility		$104.71	$128.82	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $380.19	Professional		$190.55	$257.04	$380.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $323.59	Professional		$120.23	$181.97	$323.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $2,570.40	Facility		$398.11	$891.25	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $50,118.72 / $75,857.76	Facility		$125.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $537.03	Professional		$173.78	$263.03	$537.03
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 $97.72 / $173.78 / $407.38	Professional		$97.72	$173.78	$407.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $251.19	Facility		$87.10	$123.03	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $323.59	Professional		$120.23	$177.83	$323.59