Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.37 / $2,253.98 / $7,606.72	Facility		$52.37	$2,253.98	$7,606.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $133.97 / $309.08	Professional		$37.89	$133.97	$309.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $44.47 / $160.36	Professional		$44.19	$44.47	$160.36
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 $135.86 / $188.02 / $393.26	Professional		$135.86	$188.02	$393.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $225.63 / $282.04 / $551.77	Professional	50	$225.63	$282.04	$551.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $4,050.00	Facility		$56.58	$56.58	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $56.58 / $243.74	Professional		$56.58	$56.58	$243.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $14,648.00	Facility		$68.48	$68.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $169.23 / $451.77	Professional		$44.09	$169.23	$451.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $68.28 / $332.00	Facility		$41.96	$68.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $242.58 / $363.88	Professional		$178.96	$242.58	$363.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $217.61 / $383.86	Professional		$138.38	$217.61	$383.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.12 / $227.92 / $963.19	Facility		$58.12	$227.92	$963.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $58.12 / $249.98	Professional		$57.49	$58.12	$249.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $597.00	Facility		$68.48	$68.48	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $188.81 / $444.06	Professional		$49.90	$188.81	$444.06
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 $150.06 / $200.66 / $453.57	Professional		$150.06	$200.66	$453.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $47.81 / $73.08	Facility		$47.81	$47.81	$73.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $215.01 / $383.86	Professional		$101.64	$215.01	$383.86