Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $213.80 / $588.84	Facility		$83.18	$213.80	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $616.60	Professional		$100.00	$181.97	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $263.03	Professional		$208.93	$234.42	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $549.54	Facility		$275.42	$275.42	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $446.68	Professional		$158.49	$158.49	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $223.87 / $223.87	Facility		$208.93	$223.87	$223.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $436.52 / $50,118.72	Facility		$141.25	$436.52	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $281.84	Professional		$104.71	$104.71	$281.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $1,047.13	Facility		$275.42	$446.68	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $524.81	Professional		$169.82	$288.40	$524.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $165.96	Facility		$158.49	$158.49	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $177.83	Professional		$158.49	$169.82	$177.83
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $158.49	Professional		$107.15	$107.15	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $50,118.72 / $75,857.76	Facility		$338.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $263.03	Professional		$177.83	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $331.13	Facility		$100.00	$281.84	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $229.09	Professional		$89.13	$134.90	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $190.55	Facility		$158.49	$169.82	$190.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $177.83	Professional		$158.49	$169.82	$177.83