Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $309.03 / $2,398.83	Facility		$93.33	$309.03	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $501.19	Professional		$75.86	$177.83	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $380.19	Professional		$109.65	$154.88	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $363.08	Professional		$234.42	$316.23	$363.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $251.19	Professional		$109.65	$109.65	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $50,118.72	Facility		$125.89	$125.89	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	52	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $194.98 / $446.68	Professional		$89.13	$194.98	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $257.04	Facility		$77.62	$151.36	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $331.13	Professional		$181.97	$229.09	$331.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $380.19	Professional		$147.91	$218.78	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $1,412.54	Facility		$489.78	$1,148.15	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
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 $208.93 / $263.03 / $426.58	Professional		$208.93	$263.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $954.99	Facility		$660.69	$776.25	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $338.84	Professional		$74.13	$154.88	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $234.42	Facility		$162.18	$186.21	$234.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $380.19	Professional		$154.88	$194.98	$380.19