Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $478.63 / $933.25	Facility		$218.78	$478.63	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $602.56	Professional		$257.04	$323.59	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $602.56	Professional		$416.87	$512.86	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,230.27	Facility		$602.56	$602.56	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,071.52	Professional		$426.58	$426.58	$1,071.52
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 $380.19 / $1,122.02 / $50,118.72	Facility		$380.19	$1,122.02	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $602.56	Professional		$275.42	$275.42	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $2,344.23	Facility		$602.56	$1,000.00	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,174.90	Professional		$380.19	$645.65	$1,174.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Facility		$457.09	$457.09	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $457.09	Professional		$354.81	$380.19	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,148.15	Facility		$602.56	$602.56	$1,148.15
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 $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $588.84	Professional		$398.11	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $691.83 / $812.83	Facility		$245.47	$691.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $501.19	Professional		$199.53	$323.59	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $398.11 / $478.63	Facility		$354.81	$398.11	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $457.09	Professional		$354.81	$380.19	$457.09