Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $2,626.00 / $6,962.00	Facility		$191.02	$2,626.00	$6,962.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.56 / $156.29 / $1,431.22	Facility	52	$73.56	$156.29	$1,431.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.52 / $55.38 / $93.90	Facility	53	$27.52	$55.38	$93.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $241.68 / $598.85	Professional		$122.52	$241.68	$598.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $119.06 / $173.79	Professional		$98.76	$119.06	$173.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,189.00 / $4,636.00	Facility		$1,651.00	$3,189.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $280.02 / $714.17	Professional		$217.02	$280.02	$714.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $172.61 / $1,254.00 / $4,050.00	Facility		$172.61	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $172.61 / $428.53	Professional		$172.61	$172.61	$428.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $206.39 / $3,479.91	Facility		$206.39	$206.39	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $343.26 / $832.24	Professional		$150.27	$343.26	$832.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $208.14 / $462.28	Facility		$138.76	$208.14	$462.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $341.25 / $572.23	Professional		$150.16	$341.25	$572.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.70 / $263.70 / $482.13	Facility		$263.70	$263.70	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $503.21 / $757.12	Professional		$263.39	$503.21	$757.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.33 / $1,717.50 / $3,275.18	Facility		$977.33	$1,717.50	$3,275.18
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $785.18 / $785.18 / $3,341.56	Facility	52	$785.18	$785.18	$3,341.56
Highmark BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $1,347.12 / $1,347.12 / $1,347.12	Facility	53	$1,347.12	$1,347.12	$1,347.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $203.11 / $395.52	Professional		$141.72	$203.11	$395.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $1,025.00 / $5,855.00	Facility		$206.39	$1,025.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $367.48 / $778.59	Professional		$159.50	$367.48	$778.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $321.86 / $777.71	Professional		$233.12	$321.86	$777.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.43 / $145.43 / $563.85	Facility		$145.43	$145.43	$563.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $392.16 / $757.12	Professional		$263.39	$392.16	$757.12