Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $1,819.70 / $7,585.78	Facility		$50.12	$1,819.70	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $501.19 / $19,952.62 / $19,952.62	Facility	50	$501.19	$19,952.62	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $218.78	Professional		$38.02	$72.44	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $131.83 / $316.23	Professional	50	$75.86	$131.83	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $58.88	Professional		$30.90	$52.48	$58.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
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 $44.67 / $57.54 / $138.04	Professional		$44.67	$57.54	$138.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $81.28 / $194.98	Professional	50	$66.07	$81.28	$194.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $6,165.95	Facility		$52.48	$52.48	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $75.86	Professional		$52.48	$52.48	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $63.10 / $50,118.72	Facility		$34.67	$63.10	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $194.98	Professional		$40.74	$70.79	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $123.03	Facility		$37.15	$45.71	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $173.78	Professional		$66.07	$93.33	$173.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $117.49	Professional		$48.98	$72.44	$117.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $147.91 / $512.86	Facility		$50.12	$147.91	$512.86
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	50	$331.13	$331.13	$331.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $72.44	Professional		$53.70	$72.44	$72.44
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $107.15 / $112.20	Professional	50	$81.28	$107.15	$112.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50,118.72 / $75,857.76	Facility		$43.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $398.11	Professional		$61.66	$91.20	$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 $33.88 / $54.95 / $138.04	Professional		$33.88	$54.95	$138.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $199.53	Facility		$30.20	$43.65	$199.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $131.83	Professional		$44.67	$66.07	$131.83