Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,584.89 / $7,244.36	Facility		$58.88	$1,584.89	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.76 / $213.80 / $331.13	Facility	50	$0.76	$213.80	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $245.47	Professional		$41.69	$79.43	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $125.89 / $309.03	Professional	50	$72.44	$125.89	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $72.44	Professional		$50.12	$58.88	$72.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	50	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $154.88	Professional		$39.81	$50.12	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.54 / $72.44 / $229.09	Professional	50	$57.54	$72.44	$229.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $4,073.80	Facility		$54.95	$54.95	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $79.43	Professional		$54.95	$54.95	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $50,118.72	Facility		$34.67	$66.07	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $199.53	Professional		$42.66	$74.13	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $125.89	Facility		$34.67	$41.69	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $138.04	Professional		$69.18	$97.72	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $123.03	Professional		$48.98	$75.86	$123.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $147.91 / $1,000.00	Facility		$54.95	$147.91	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $50.12 / $229.09 / $331.13	Facility	50	$50.12	$229.09	$331.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $81.28	Professional		$56.23	$74.13	$81.28
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $112.20 / $114.82	Professional	50	$83.18	$112.20	$114.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50,118.72 / $75,857.76	Facility		$42.66	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $398.11	Professional		$63.10	$95.50	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $147.91	Professional		$35.48	$57.54	$147.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $190.55	Facility		$31.62	$46.77	$190.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $138.04	Professional		$46.77	$69.18	$138.04