Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,981.07 / $9,772.37	Facility		$446.68	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $457.09 / $1,445.44	Professional		$144.54	$457.09	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $234.42	Professional		$169.82	$169.82	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,659.59	Professional		$436.52	$562.34	$1,659.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,698.24 / $8,912.51	Facility		$234.42	$1,698.24	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $812.83	Professional		$234.42	$234.42	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $50,118.72	Facility		$34.67	$275.42	$50,118.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	53	$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $645.65 / $2,137.96	Professional		$204.17	$645.65	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $524.81	Facility		$162.18	$245.47	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $977.24	Professional		$501.19	$676.08	$977.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,230.27	Professional		$446.68	$630.96	$1,230.27
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $501.19	Professional		$151.36	$151.36	$501.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $5,754.40	Facility		$1,862.09	$3,890.45	$5,754.40
Highmark BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	53	$4,786.30	$4,786.30	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $724.44	Professional		$151.36	$204.17	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,288.25	Professional		$398.11	$794.33	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $398.11 / $1,174.90	Professional		$117.49	$398.11	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $288.40	Facility		$131.83	$173.78	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,000.00	Professional		$309.03	$524.81	$1,000.00