Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $346.74	Facility		$165.96	$218.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $380.19	Professional		$125.89	$177.83	$380.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $186.21 / $186.21 / $194.98	Professional	25	$186.21	$186.21	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $134.90 / $302.00	Professional		$0.79	$134.90	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $53,703.18	Facility		$281.84	$281.84	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $851.14	Professional		$107.15	$251.19	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $416.87	Facility		$77.62	$186.21	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $630.96	Professional		$218.78	$338.84	$630.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $169.82	Facility		$147.91	$169.82	$169.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $331.13	Professional		$56.23	$147.91	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Optum Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $346.74	Professional		$151.36	$181.97	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $363.08	Professional		$117.49	$190.55	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $316.23	Facility		$147.91	$173.78	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $173.78 / $489.78	Professional		$56.23	$173.78	$489.78