Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $407.38	Facility		$63.10	$162.18	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $363.08	Professional		$102.33	$147.91	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $275.42	Professional		$79.43	$125.89	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $218.78	Professional		$72.44	$91.20	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $162.18	Facility		$67.61	$67.61	$162.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $229.09	Professional		$67.61	$162.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $331.13 / $398.11	Facility		$107.15	$331.13	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $537.03	Professional		$107.15	$208.93	$537.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $57.54	Facility		$20.89	$28.18	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $398.11	Professional		$141.25	$234.42	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $100.00 / $257.04	Facility		$39.81	$100.00	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $70.79	Professional		$67.61	$69.18	$70.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $138.04	Professional		$63.10	$75.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $338.84	Professional		$117.49	$169.82	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $245.47	Facility		$120.23	$169.82	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $398.11	Professional		$128.82	$204.17	$398.11