Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,905.46 / $7,244.36	Facility		$58.88	$1,905.46	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $2,570.40	Facility	50	$1,348.96	$1,348.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $169.82	Professional		$29.51	$60.26	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $72.44	Professional		$14.79	$16.98	$72.44
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 $46.77 / $56.23 / $131.83	Professional		$46.77	$56.23	$131.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $4,073.80	Facility		$46.77	$46.77	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $117.49	Professional		$46.77	$46.77	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $50,118.72	Facility		$34.67	$54.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $263.03	Professional		$33.88	$75.86	$263.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $53.70 / $109.65	Facility		$30.20	$53.70	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $165.96	Professional		$87.10	$117.49	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $173.78	Professional		$56.23	$95.50	$173.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $870.96 / $3,467.37	Facility		$218.78	$870.96	$3,467.37
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	50	$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $77.62	Professional		$39.81	$40.74	$77.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $398.11	Professional		$97.72	$147.91	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,754.23 / $4,897.79	Facility		$1,071.52	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $158.49	Professional		$30.90	$67.61	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.88 / $128.82	Facility		$25.70	$33.88	$128.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $173.78	Professional		$56.23	$87.10	$173.78