Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,073.80 / $12,022.64	Facility		$512.86	$4,073.80	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,709.64 / $10,000.00 / $18,197.01	Facility	50	$8,709.64	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,258.93 / $4,073.80	Professional		$323.59	$1,258.93	$4,073.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $1,348.96 / $9,120.11	Professional	50	$549.54	$1,348.96	$9,120.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
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 $1,023.29 / $1,318.26 / $4,365.16	Professional		$1,023.29	$1,318.26	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,513.56 / $1,995.26 / $6,165.95	Professional	50	$1,513.56	$1,995.26	$6,165.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,265.80 / $16,595.87	Facility		$389.05	$4,265.80	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,819.70	Professional		$389.05	$389.05	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,311.31 / $50,118.72	Facility		$467.74	$3,311.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,348.96 / $4,786.30	Professional		$323.59	$1,348.96	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $954.99	Facility		$295.12	$416.87	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,187.76	Professional		$1,096.48	$1,513.56	$2,187.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $1,949.84	Professional		$933.25	$1,412.54	$1,949.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $17,378.01	Facility		$3,548.13	$6,918.31	$17,378.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,659.59 / $2,570.40	Professional		$338.84	$1,659.59	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $50,118.72 / $75,857.76	Facility		$371.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,778.28 / $2,041.74	Professional		$398.11	$1,778.28	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,122.02 / $2,884.03	Professional		$281.84	$1,122.02	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $1,348.96	Facility		$218.78	$346.74	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,187.76	Professional		$724.44	$1,230.27	$2,187.76