Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $1,508.00 / $7,227.91	Facility		$49.88	$1,508.00	$7,227.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $547.15 / $1,653.22 / $19,817.27	Facility	50	$547.15	$1,653.22	$19,817.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $58.01 / $147.07	Professional		$37.35	$58.01	$147.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.17 / $114.45 / $325.98	Professional	50	$51.17	$114.45	$325.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $49.46 / $71.34	Professional		$24.52	$49.46	$71.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $107.02 / $107.02 / $115.21	Professional	50	$107.02	$107.02	$115.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $57.05 / $129.43	Professional		$43.64	$57.05	$129.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.45 / $84.99 / $192.73	Professional	50	$65.45	$84.99	$192.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $52.66 / $6,213.00	Facility		$52.66	$52.66	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $52.66 / $76.05	Professional		$52.66	$52.66	$76.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $69.01 / $167.97	Professional		$40.13	$69.01	$167.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $60.00 / $332.00	Facility		$40.00	$60.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $89.95 / $237.51	Professional		$59.64	$89.95	$237.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $51.21 / $51.21	Facility		$51.21	$51.21	$51.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $59.04 / $116.74	Professional		$49.44	$59.04	$116.74
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $48.67	Professional		$48.45	$48.45	$48.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $352.36 / $574.32	Facility		$122.63	$352.36	$574.32
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $331.47 / $331.47 / $331.47	Facility	50	$331.47	$331.47	$331.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $69.16 / $93.79	Professional		$51.21	$69.16	$93.79
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.81 / $107.54 / $108.93	Professional	50	$80.81	$107.54	$108.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $555.00 / $597.00	Facility		$62.56	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $72.73 / $167.97	Professional		$44.03	$72.73	$167.97
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $64.75 / $163.47	Professional		$46.31	$64.75	$163.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $44.07 / $198.33	Facility		$44.07	$44.07	$198.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $71.37 / $116.74	Professional		$50.56	$71.37	$116.74