Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,165.95 / $10,964.78	Facility		$851.14	$6,165.95	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $831.76 / $3,311.31	Professional		$309.03	$831.76	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $524.81	Professional		$263.03	$524.81	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,778.28	Professional		$489.78	$616.60	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,398.83 / $10,964.78	Facility		$776.25	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $50,118.72	Facility		$933.25	$933.25	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	AS	$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $2,951.21	Professional		$549.54	$891.25	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $1,995.26	Facility		$616.60	$891.25	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,584.89	Professional		$602.56	$831.76	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,148.15	Professional		$489.78	$724.44	$1,148.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $7,585.78	Facility		$2,344.23	$3,715.35	$7,585.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,000.00	Professional		$724.44	$758.58	$1,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,479.11	Professional		$398.11	$724.44	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,737.80	Professional		$478.63	$676.08	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $2,818.38	Facility		$446.68	$660.69	$2,818.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,659.59	Professional		$446.68	$660.69	$1,659.59