Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $2,159.00 / $7,185.00	Facility		$50.45	$2,159.00	$7,185.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.54 / $105.98 / $177.10	Facility	52	$19.54	$105.98	$177.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $160.19 / $402.06	Professional		$36.64	$160.19	$402.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $115.43	Professional		$32.32	$32.32	$115.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $48,679.00	Facility		$1,651.00	$3,263.00	$48,679.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $249.06 / $516.27	Professional		$92.02	$249.06	$516.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $1,254.00 / $4,050.00	Facility		$53.36	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $53.36 / $339.84	Professional		$53.36	$53.36	$339.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $64.27 / $3,479.91	Facility		$64.27	$64.27	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $208.00 / $660.00	Professional		$43.21	$208.00	$660.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $65.48 / $332.00	Facility		$41.47	$65.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $297.26 / $441.48	Professional		$229.67	$297.26	$441.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $201.86 / $482.13	Facility		$201.86	$201.86	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $267.26 / $414.79	Professional		$181.74	$267.26	$414.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.52 / $473.17 / $2,526.50	Facility		$253.52	$473.17	$2,526.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $47.74 / $47.74	Professional		$42.22	$47.74	$47.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $348.16 / $3,479.91	Facility		$64.27	$348.16	$3,479.91
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $277.56 / $599.55	Professional		$48.84	$277.56	$599.55
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,411.00 / $4,583.00	Facility		$835.00	$2,411.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $267.08 / $645.61	Professional		$188.84	$267.08	$645.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $44.16 / $201.86	Facility		$44.16	$44.16	$201.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $267.26 / $424.39	Professional		$116.68	$267.26	$424.39