Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $891.25	Facility		$281.84	$616.60	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $707.95	Professional		$316.23	$436.52	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,548.82	Facility		$776.25	$776.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,318.26	Professional		$478.63	$478.63	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $630.96 / $630.96	Facility		$588.84	$630.96	$630.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $50,118.72	Facility		$660.69	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $758.58	Professional		$489.78	$489.78	$758.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,951.21	Facility		$776.25	$1,288.25	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,513.56	Professional		$478.63	$812.83	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $562.34	Facility		$537.03	$537.03	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $537.03	Professional		$457.09	$489.78	$537.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $50,118.72 / $75,857.76	Facility		$1,148.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $741.31	Professional		$501.19	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,023.29	Facility		$316.23	$602.56	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $645.65	Professional		$251.19	$407.38	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $562.34	Facility		$457.09	$478.63	$562.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $537.03	Professional		$457.09	$489.78	$537.03