Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.91 / $2,782.40 / $7,235.00	Facility		$185.91	$2,782.40	$7,235.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $826.61 / $1,237.17 / $1,590.74	Facility	50	$826.61	$1,237.17	$1,590.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $176.98 / $490.00	Professional		$130.46	$176.98	$490.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Professional		$133.31	$133.31	$133.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $166.52 / $340.71	Professional		$131.33	$166.52	$340.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $193.00 / $4,050.00	Facility		$193.00	$193.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $193.00 / $193.00	Professional		$193.00	$193.00	$193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $156.41 / $14,648.00	Facility		$156.41	$156.41	$14,648.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.25 / $15.25 / $15.25	Facility	AS	$15.25	$15.25	$15.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $255.71 / $602.22	Professional		$116.61	$255.71	$602.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $211.50 / $364.93	Facility		$140.00	$211.50	$364.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $182.92 / $280.58	Professional		$159.82	$182.92	$280.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $144.38 / $268.38	Professional		$99.27	$144.38	$268.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.19 / $1,381.21 / $2,785.00	Facility		$935.19	$1,381.21	$2,785.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $274.91	Professional		$179.39	$179.39	$274.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $156.41 / $74,999.25	Facility		$156.41	$156.41	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $15.25 / $15.25 / $15.25	Facility	AS	$15.25	$15.25	$15.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $241.66 / $537.90	Professional		$140.01	$241.66	$537.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $181.92 / $399.08	Professional		$126.15	$181.92	$399.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $144.38 / $286.68	Facility		$144.38	$144.38	$286.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $167.94 / $286.68	Professional		$99.27	$167.94	$286.68