Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,715.35 / $9,549.93	Facility		$363.08	$3,715.35	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $5,754.40 / $10,000.00	Facility	50	$1,513.56	$5,754.40	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $794.33	Professional		$177.83	$354.81	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $537.03 / $1,778.28	Professional	50	$89.13	$537.03	$1,778.28
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	50	$151.36	$151.36	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $977.24	Professional		$208.93	$263.03	$977.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $398.11 / $1,479.11	Professional	50	$309.03	$398.11	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,698.24 / $6,165.95	Facility		$251.19	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $416.87	Professional		$251.19	$251.19	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,659.59 / $50,118.72	Facility		$302.00	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $512.86 / $1,202.26	Professional		$213.80	$512.86	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $354.81 / $630.96	Facility		$177.83	$354.81	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $602.56	Professional		$309.03	$416.87	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $660.69 / $891.25	Professional		$269.15	$660.69	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,677.35	Facility		$1,698.24	$2,344.23	$4,677.35
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $4,365.16 / $7,079.46	Facility	50	$2,238.72	$4,365.16	$7,079.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $602.56	Professional		$346.74	$398.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $776.25	Professional		$154.88	$288.40	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $1,258.93	Facility		$144.54	$190.55	$1,258.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $562.34 / $891.25	Professional		$239.88	$562.34	$891.25