Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,754.23 / $7,762.47	Facility		$97.72	$2,754.23	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	50	$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $199.53 / $575.44	Professional		$66.07	$199.53	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $323.59 / $1,148.15	Professional	50	$147.91	$323.59	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $138.04 / $169.82 / $478.63	Professional		$138.04	$169.82	$478.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $257.04 / $691.83	Professional	50	$208.93	$257.04	$691.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $4,073.80	Facility		$97.72	$97.72	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $338.84	Professional		$97.72	$97.72	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $50,118.72	Facility		$34.67	$114.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $213.80 / $645.65	Professional		$72.44	$213.80	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $223.87	Facility		$67.61	$100.00	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $478.63	Professional		$245.47	$363.08	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $489.78	Professional		$173.78	$288.40	$489.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,412.54 / $2,454.71	Facility		$147.91	$1,412.54	$2,454.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $316.23 / $331.13	Professional		$100.00	$316.23	$331.13
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	50	$489.78	$489.78	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $50,118.72 / $75,857.76	Facility		$74.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $537.03	Professional		$257.04	$398.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $194.98 / $467.74	Professional		$66.07	$194.98	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $331.13	Facility		$54.95	$81.28	$331.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $457.09	Professional		$169.82	$275.42	$457.09