Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $371.54	Facility		$109.65	$263.03	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $758.58	Professional		$141.25	$234.42	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $302.00	Professional		$251.19	$251.19	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $660.69	Facility		$331.13	$331.13	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $562.34	Professional		$190.55	$190.55	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $269.15 / $269.15	Facility		$251.19	$269.15	$269.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $549.54 / $50,118.72	Facility		$194.98	$549.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $346.74	Professional		$141.25	$141.25	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $549.54 / $1,258.93	Facility		$331.13	$549.54	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $630.96	Professional		$204.17	$380.19	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $234.42	Professional		$194.98	$208.93	$234.42
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $316.23	Professional		$213.80	$316.23	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $426.58	Facility		$128.82	$194.98	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $281.84	Professional		$107.15	$169.82	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $204.17	Facility		$186.21	$194.98	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Professional		$194.98	$194.98	$208.93