Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $2,884.50 / $7,521.00	Facility		$225.04	$2,884.50	$7,521.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $82.75 / $135.71 / $780.85	Facility	52	$82.75	$135.71	$780.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.10 / $54.28 / $312.33	Facility	53	$33.10	$54.28	$312.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $261.52 / $1,747.05	Professional		$149.63	$261.52	$1,747.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $143.71 / $941.22	Professional		$74.29	$143.71	$941.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $3,699.00 / $8,281.00	Facility		$2,373.00	$3,699.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $985.42 / $2,123.02	Professional		$246.24	$985.42	$2,123.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $216.28 / $1,716.00 / $6,213.00	Facility		$216.28	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $216.28 / $1,647.68	Professional		$216.28	$216.28	$1,647.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $257.77 / $4,612.43	Facility		$257.77	$257.77	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $536.01 / $2,749.33	Professional		$163.15	$536.01	$2,749.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.03 / $255.04 / $575.88	Facility		$170.03	$255.04	$575.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $1,066.93 / $1,912.33	Professional		$207.19	$1,066.93	$1,912.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $942.57	Facility		$639.45	$639.45	$942.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $1,267.77 / $1,967.58	Professional		$143.16	$1,267.77	$1,967.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,325.94 / $2,474.02 / $4,348.50	Facility		$1,325.94	$2,474.02	$4,348.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $215.10 / $1,520.55	Professional		$156.24	$215.10	$1,520.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $1,409.00 / $5,855.00	Facility		$257.77	$1,409.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $1,079.53 / $2,729.92	Professional		$190.06	$1,079.53	$2,729.92
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 $270.00 / $1,185.48 / $2,739.62	Professional		$270.00	$1,185.48	$2,739.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.87 / $181.87 / $942.57	Facility		$181.87	$181.87	$942.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $1,267.77 / $2,013.09	Professional		$143.16	$1,267.77	$2,013.09