Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $16,982.44	Facility		$87.10	$123.03	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $12,302.69	Professional		$85.11	$87.10	$12,302.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $89.13	Facility		$87.10	$87.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Facility		$81.28	$81.28	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $295.12	Facility		$81.28	$104.71	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $112.20	Professional		$91.20	$93.33	$112.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Facility		$85.11	$85.11	$89.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $89.13	Professional		$85.11	$89.13	$89.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $50,118.72 / $75,857.76	Facility		$109.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $104.71	Professional		$81.28	$87.10	$104.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $89.13	Professional		$85.11	$89.13	$89.13