Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,454.71 / $4,897.79	Facility		$302.00	$2,454.71	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $416.87	Professional		$125.89	$208.93	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $724.44	Professional		$489.78	$575.44	$724.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $50,118.72	Facility		$426.58	$426.58	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $1,202.26	Professional		$199.53	$389.05	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $707.95	Facility		$190.55	$251.19	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $371.54	Professional		$190.55	$257.04	$371.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $218.78 / $436.52	Professional		$63.10	$218.78	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $1,905.46	Facility		$630.96	$1,318.26	$1,905.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $794.33	Professional		$537.03	$537.03	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50,118.72 / $75,857.76	Facility		$41.69	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $870.96 / $1,071.52	Facility		$758.58	$870.96	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $389.05 / $1,122.02	Professional		$144.54	$389.05	$1,122.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $141.25 / $602.56	Facility		$19.50	$141.25	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $218.78 / $549.54	Professional		$63.10	$218.78	$549.54