Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $478.63 / $2,691.53	Facility		$53.70	$478.63	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $147.91 / $446.68 / $1,659.59	Facility	50	$147.91	$446.68	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $218.78	Professional		$40.74	$85.11	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $114.82 / $208.93	Professional	50	$46.77	$114.82	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $100.00	Professional		$32.36	$61.66	$100.00
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 $52.48 / $66.07 / $165.96	Professional		$52.48	$66.07	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $97.72 / $245.47	Professional	50	$79.43	$97.72	$245.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $4,073.80	Facility		$56.23	$56.23	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $91.20	Professional		$56.23	$56.23	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $50,118.72	Facility		$34.67	$67.61	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $234.42	Professional		$44.67	$83.18	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $158.49	Facility		$43.65	$52.48	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $181.97	Professional		$91.20	$125.89	$181.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $144.54	Professional		$56.23	$89.13	$144.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $436.52	Facility		$79.43	$199.53	$436.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $91.20	Professional		$75.86	$91.20	$91.20
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	50	$131.83	$131.83	$131.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50,118.72 / $75,857.76	Facility		$42.66	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $398.11	Professional		$75.86	$114.82	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $169.82	Professional		$37.15	$64.57	$169.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $186.21	Facility		$33.11	$48.98	$186.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $158.49	Professional		$54.95	$81.28	$158.49