Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $389.05	Facility		$223.87	$281.84	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $524.81	Professional		$186.21	$213.80	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $380.19	Professional		$177.83	$208.93	$380.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $50,118.72	Facility		$331.13	$331.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $724.44	Professional		$162.18	$309.03	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $436.52	Facility		$81.28	$194.98	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $416.87	Professional		$218.78	$316.23	$416.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $446.68	Professional		$162.18	$263.03	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $416.87	Professional		$234.42	$239.88	$416.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $50,118.72 / $75,857.76	Facility		$245.47	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $549.54	Professional		$239.88	$295.12	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $537.03	Professional		$169.82	$229.09	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $275.42	Facility		$158.49	$239.88	$275.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $524.81	Professional		$162.18	$245.47	$524.81