Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $1,318.26	Facility		$398.11	$758.58	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,584.89	Professional		$446.68	$549.54	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,344.23	Facility		$1,174.90	$1,174.90	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,862.09	Professional		$575.44	$575.44	$1,862.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Facility		$891.25	$954.99	$954.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,659.59 / $50,118.72	Facility		$630.96	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,174.90	Professional		$457.09	$457.09	$1,174.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $4,570.88	Facility		$1,174.90	$1,949.84	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,290.87	Professional		$724.44	$1,230.27	$2,290.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Facility		$707.95	$707.95	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $741.31	Professional		$691.83	$707.95	$741.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $50,118.72 / $75,857.76	Facility		$1,513.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,122.02	Professional		$776.25	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $575.44 / $1,258.93	Facility		$363.08	$575.44	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $977.24	Professional		$389.05	$575.44	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $831.76	Facility		$691.83	$707.95	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $741.31	Professional		$691.83	$707.95	$741.31