Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $316.23 / $616.60	Facility		$144.54	$316.23	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $302.00	Professional		$141.25	$194.98	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $316.23	Professional		$251.19	$257.04	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $812.83	Facility		$398.11	$398.11	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $676.08	Professional		$208.93	$208.93	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $331.13	Facility		$309.03	$331.13	$331.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $588.84 / $50,118.72	Facility		$208.93	$588.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $398.11	Professional		$151.36	$151.36	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $1,548.82	Facility		$398.11	$660.69	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $776.25	Professional		$251.19	$446.68	$776.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Facility		$223.87	$223.87	$234.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $251.19	Professional		$223.87	$239.88	$251.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $776.25	Facility		$398.11	$398.11	$776.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $50,118.72 / $75,857.76	Facility		$478.63	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $389.05	Professional		$263.03	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $263.03 / $457.09	Facility		$138.04	$263.03	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $331.13	Professional		$131.83	$213.80	$331.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $239.88 / $245.47	Facility		$223.87	$239.88	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $251.19	Professional		$223.87	$239.88	$251.19