Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $1,698.24 / $7,244.36	Facility		$52.48	$1,698.24	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility	50	$10,471.29	$10,471.29	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $190.55	Professional		$35.48	$69.18	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $117.49 / $295.12	Professional	50	$51.29	$117.49	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $53.70	Professional		$43.65	$50.12	$53.70
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	50	$81.28	$81.28	$81.28
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 $42.66 / $54.95 / $125.89	Professional		$42.66	$54.95	$125.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $79.43 / $181.97	Professional	50	$63.10	$79.43	$181.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $6,165.95	Facility		$51.29	$51.29	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Professional		$51.29	$51.29	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $50,118.72	Facility		$34.67	$60.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $186.21	Professional		$38.90	$67.61	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $120.23	Facility		$36.31	$45.71	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $165.96	Professional		$64.57	$91.20	$165.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $114.82	Professional		$42.66	$67.61	$114.82
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	50	$75.86	$75.86	$75.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $50.12 / $147.91	Facility		$0.45	$50.12	$147.91
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	50	$109.65	$109.65	$109.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $69.18	Professional		$50.12	$58.88	$69.18
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $104.71 / $104.71	Professional	50	$87.10	$104.71	$104.71
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 $58.88 / $89.13 / $398.11	Professional		$58.88	$89.13	$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 $33.11 / $52.48 / $134.90	Professional		$33.11	$52.48	$134.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $194.98	Facility		$28.84	$42.66	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $128.82	Professional		$43.65	$64.57	$128.82