Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $812.83 / $1,621.81	Facility		$269.15	$812.83	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $707.95	Professional		$154.88	$257.04	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $436.52	Professional		$158.49	$194.98	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $2,041.74	Facility		$263.03	$575.44	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $794.33	Professional		$169.82	$302.00	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $1,230.27	Facility		$309.03	$407.38	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $645.65	Professional		$323.59	$436.52	$645.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $218.78 / $346.74	Professional		$69.18	$218.78	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $2,041.74	Facility		$281.84	$302.00	$2,041.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $371.54	Professional		$275.42	$295.12	$371.54
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
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,122.02	Facility		$616.60	$870.96	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $512.86	Professional		$125.89	$229.09	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $141.25 / $239.88	Facility		$57.54	$141.25	$239.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $363.08	Professional		$141.25	$218.78	$363.08