Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $2,769.00 / $7,028.00	Facility		$98.34	$2,769.00	$7,028.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.09 / $82.66 / $253.61	Facility	52	$38.09	$82.66	$253.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.24 / $33.06 / $79.31	Facility	53	$15.24	$33.06	$79.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $170.00 / $495.75	Professional		$71.00	$170.00	$495.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $70.77 / $259.04	Professional		$62.16	$70.77	$259.04
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 $133.13 / $249.84 / $508.59	Professional		$133.13	$249.84	$508.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $1,254.00 / $4,050.00	Facility		$100.93	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $100.93 / $420.35	Professional		$100.93	$100.93	$420.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $121.96 / $3,479.91	Facility		$121.96	$121.96	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $249.84 / $723.99	Professional		$81.38	$249.84	$723.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $132.00 / $346.00	Facility		$87.58	$132.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $292.63 / $545.69	Professional		$119.00	$292.63	$545.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.92 / $258.92 / $482.13	Facility		$258.92	$258.92	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $367.66 / $527.47	Professional		$150.35	$367.66	$527.47
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $331.80 / $331.80	Professional		$331.80	$331.80	$331.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.98 / $1,807.95 / $3,033.41	Facility		$610.98	$1,807.95	$3,033.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $100.37 / $230.00	Professional		$72.42	$100.37	$230.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $597.00 / $5,855.00	Facility		$121.96	$597.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $319.76 / $690.25	Professional		$89.57	$319.76	$690.25
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,235.00 / $5,828.00	Facility		$951.00	$3,235.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.94 / $306.88 / $722.13	Professional		$211.94	$306.88	$722.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $104.53 / $482.13	Facility		$104.53	$104.53	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $373.98 / $570.39	Professional		$150.35	$373.98	$570.39