Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.65 / $317.00 / $401.98	Facility		$220.65	$317.00	$401.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $236.93 / $406.86	Professional		$172.04	$236.93	$406.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.72 / $219.72 / $219.72	Professional		$219.72	$219.72	$219.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $244.76 / $452.74	Professional		$195.81	$244.76	$452.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $330.32 / $2,390.00 / $8,917.50	Facility		$330.32	$2,390.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $330.32 / $330.32	Professional		$330.32	$330.32	$330.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.52 / $253.52 / $1,018.67	Facility		$253.52	$253.52	$1,018.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $274.02 / $638.20	Professional		$147.28	$274.02	$638.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $263.43 / $570.98	Facility		$138.18	$263.43	$570.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $299.08 / $611.59	Professional		$258.02	$299.08	$611.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $212.49 / $412.65	Professional		$183.16	$212.49	$412.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $210.57 / $279.49	Professional		$180.96	$210.57	$279.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $253.52 / $555.00 / $74,999.25	Facility		$253.52	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $275.23 / $567.91	Professional		$169.78	$275.23	$567.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,651.00 / $4,592.00	Facility		$1,252.00	$2,651.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $243.17 / $520.94	Professional		$181.52	$243.17	$520.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $237.89 / $244.93 / $244.93	Facility		$237.89	$244.93	$244.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $244.93 / $531.16	Professional		$183.16	$244.93	$531.16