Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $977.24	Facility		$223.87	$489.78	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $562.34	Professional		$263.03	$354.81	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $489.78	Professional		$478.63	$478.63	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Facility		$616.60	$616.60	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,047.13	Professional		$389.05	$389.05	$1,047.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Facility		$467.74	$501.19	$501.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $50,118.72	Facility		$457.09	$1,071.52	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $602.56	Professional		$338.84	$338.84	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,398.83	Facility		$616.60	$1,023.29	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,202.26	Professional		$380.19	$645.65	$1,202.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Facility		$426.58	$426.58	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $426.58	Professional		$363.08	$389.05	$426.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $588.84	Professional		$407.38	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $831.76	Facility		$251.19	$478.63	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $512.86	Professional		$199.53	$323.59	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $446.68	Facility		$363.08	$380.19	$446.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $426.58	Professional		$363.08	$389.05	$426.58