Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $977.24	Facility		$512.86	$870.96	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,513.56	Professional		$338.84	$524.81	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,258.93	Facility		$630.96	$630.96	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,737.80	Professional		$660.69	$660.69	$1,737.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Facility		$758.58	$812.83	$812.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $50,118.72	Facility		$645.65	$1,023.29	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $794.33	Professional		$467.74	$467.74	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $2,137.96	Facility		$758.58	$933.25	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,230.27	Professional		$416.87	$676.08	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $602.56	Facility		$562.34	$562.34	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $794.33	Professional		$562.34	$741.31	$794.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $933.25	Professional		$512.86	$602.56	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $794.33 / $933.25	Facility		$380.19	$794.33	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $954.99	Professional		$389.05	$575.44	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $741.31	Facility		$562.34	$676.08	$741.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $794.33	Professional		$562.34	$741.31	$794.33