Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.80 / $5,370.00 / $14,065.55	Facility		$526.80	$5,370.00	$14,065.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,102.78 / $9,969.75 / $15,687.13	Facility	50	$3,102.78	$9,969.75	$15,687.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $827.89 / $2,463.94	Professional		$299.33	$827.89	$2,463.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.01 / $601.40 / $3,115.14	Professional	50	$260.01	$601.40	$3,115.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $124.15 / $199.39	Professional		$124.15	$124.15	$199.39
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $189.13 / $189.13 / $189.13	Professional	50	$189.13	$189.13	$189.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.22 / $1,703.59 / $4,211.46	Professional		$1,202.22	$1,703.59	$4,211.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,996.61 / $2,495.77 / $5,975.28	Professional	50	$1,996.61	$2,495.77	$5,975.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $419.47 / $419.47 / $10,957.50	Facility		$419.47	$419.47	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $419.47 / $419.47 / $2,177.92	Professional		$419.47	$419.47	$2,177.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $14,648.00	Facility		$500.98	$500.98	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.94 / $1,051.86 / $3,775.55	Professional		$309.94	$1,051.86	$3,775.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $332.00 / $752.58	Facility		$240.00	$332.00	$752.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.24 / $1,913.01 / $2,869.51	Professional		$1,411.24	$1,913.01	$2,869.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.93 / $1,843.98 / $2,915.06	Professional		$1,245.93	$1,843.98	$2,915.06
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $1,058.43 / $1,058.43 / $1,058.43	Professional	50	$1,058.43	$1,058.43	$1,058.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.97 / $1,706.57 / $2,302.80	Facility		$704.97	$1,706.57	$2,302.80
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,151.25 / $1,151.25 / $1,151.25	Facility	50	$1,151.25	$1,151.25	$1,151.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.39 / $697.74 / $2,233.71	Professional		$336.39	$697.74	$2,233.71
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $504.59 / $2,758.16 / $3,585.18	Professional	50	$504.59	$2,758.16	$3,585.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $597.00	Facility		$500.98	$500.98	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $1,558.92 / $4,282.25	Professional		$330.09	$1,558.92	$4,282.25
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 $1,183.63 / $1,816.65 / $4,886.60	Professional		$1,183.63	$1,816.65	$4,886.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $368.85 / $368.85 / $1,235.13	Facility		$368.85	$368.85	$1,235.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $916.01 / $1,758.27 / $2,915.06	Professional		$916.01	$1,758.27	$2,915.06