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 $181.97 / $213.80 / $467.74	Professional		$181.97	$213.80	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Professional		$208.93	$208.93	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $389.05	Professional		$177.83	$208.93	$389.05
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 / $199.53 / $457.09	Facility		$81.28	$199.53	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $457.09	Professional		$223.87	$331.13	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $446.68	Professional		$162.18	$257.04	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $245.47	Professional		$234.42	$239.88	$245.47
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 $245.47 / $302.00 / $549.54	Professional		$245.47	$302.00	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $537.03	Professional		$173.78	$234.42	$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