Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,951.21 / $7,244.36	Facility		$120.23	$2,951.21	$7,244.36
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,905.46 / $3,467.37 / $3,467.37	Facility	52	$1,905.46	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $616.60	Professional		$69.18	$181.97	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $512.86	Professional		$64.57	$67.61	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $5,011.87	Facility		$1,819.70	$3,548.13	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $457.09	Professional		$199.53	$251.19	$457.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,258.93 / $4,073.80	Facility		$100.00	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $416.87	Professional		$100.00	$100.00	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $3,801.89	Facility		$123.03	$123.03	$3,801.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $741.31	Professional		$81.28	$257.04	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $257.04	Facility		$77.62	$112.20	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $346.74 / $616.60	Professional		$123.03	$346.74	$616.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $602.56	Professional		$151.36	$371.54	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,819.70 / $3,630.78	Facility		$616.60	$1,819.70	$3,630.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $363.08	Professional		$72.44	$100.00	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $50,118.72 / $75,857.76	Facility		$75.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $741.31	Professional		$323.59	$398.11	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $6,165.95	Facility		$1,348.96	$3,162.28	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $177.83 / $457.09	Professional		$61.66	$177.83	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $104.71 / $446.68	Facility		$58.88	$104.71	$446.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $602.56	Professional		$151.36	$354.81	$602.56