Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $2,792.00 / $8,134.00	Facility		$88.51	$2,792.00	$8,134.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,576.94 / $1,576.94 / $1,576.94	Facility	50	$1,576.94	$1,576.94	$1,576.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $182.25 / $436.14	Professional		$64.12	$182.25	$436.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $606.12 / $709.34	Professional	50	$166.68	$606.12	$709.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $209.35 / $209.35	Professional		$209.35	$209.35	$209.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $173.27 / $498.28	Professional		$134.19	$173.27	$498.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $204.64 / $257.16 / $707.13	Professional	50	$204.64	$257.16	$707.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $97.47 / $4,050.00	Facility		$97.47	$97.47	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $97.47 / $337.63	Professional		$97.47	$97.47	$337.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $14,648.00	Facility		$115.83	$115.83	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $212.20 / $618.38	Professional		$72.67	$212.20	$618.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $115.91 / $332.00	Facility		$79.73	$115.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.26 / $314.85 / $472.27	Professional		$232.26	$314.85	$472.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $263.57 / $483.11	Professional		$182.20	$263.57	$483.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $1,263.14 / $2,467.17	Facility		$147.69	$1,263.14	$2,467.17
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $223.66 / $223.66 / $223.66	Facility	50	$223.66	$223.66	$223.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $163.56 / $329.82	Professional		$79.08	$163.56	$329.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $597.00	Facility		$115.83	$115.83	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $253.15 / $622.02	Professional		$72.92	$253.15	$622.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $284.25 / $672.04	Professional		$207.46	$284.25	$672.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $80.77 / $340.72	Facility		$80.77	$80.77	$340.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $174.84 / $243.88 / $483.11	Professional		$174.84	$243.88	$483.11