Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $234.42	Facility		$69.18	$165.96	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $398.11	Professional		$83.18	$112.20	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $416.87	Facility		$208.93	$208.93	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $354.81	Professional		$117.49	$117.49	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Facility		$158.49	$169.82	$169.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $50,118.72	Facility		$141.25	$331.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $218.78	Professional		$102.33	$102.33	$218.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $794.33	Facility		$208.93	$346.74	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $407.38	Professional		$123.03	$218.78	$407.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $120.23	Facility		$114.82	$114.82	$120.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $125.89	Professional		$114.82	$120.23	$125.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $50,118.72 / $75,857.76	Facility		$245.47	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $199.53	Professional		$138.04	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $218.78 / $257.04	Facility		$77.62	$218.78	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $177.83	Professional		$67.61	$104.71	$177.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $138.04	Facility		$114.82	$120.23	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $125.89	Professional		$114.82	$120.23	$125.89