Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $724.44	Facility		$234.42	$512.86	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $562.34	Professional		$251.19	$363.08	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,288.25	Facility		$645.65	$645.65	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,096.48	Professional		$398.11	$398.11	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $524.81	Facility		$489.78	$524.81	$524.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $50,118.72	Facility		$398.11	$1,148.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $645.65	Professional		$288.40	$288.40	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $2,511.89	Facility		$645.65	$1,071.52	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,258.93	Professional		$407.38	$707.95	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Facility		$446.68	$446.68	$467.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $446.68	Professional		$380.19	$407.38	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
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 $426.58 / $616.60 / $616.60	Professional		$426.58	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $501.19 / $870.96	Facility		$239.88	$501.19	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $537.03	Professional		$213.80	$346.74	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $398.11 / $467.74	Facility		$380.19	$398.11	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $446.68	Professional		$380.19	$407.38	$446.68