Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.37 / $2,920.00 / $7,307.00	Facility		$210.37	$2,920.00	$7,307.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.69 / $106.13 / $358.31	Facility	52	$70.69	$106.13	$358.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $246.71 / $824.10	Professional		$122.10	$246.71	$824.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $874.44 / $874.44 / $874.44	Professional		$874.44	$874.44	$874.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.68 / $501.51 / $941.85	Professional		$219.68	$501.51	$941.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $1,254.00 / $4,050.00	Facility		$165.08	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $165.08 / $768.58	Professional		$165.08	$165.08	$768.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $197.32 / $3,479.91	Facility		$197.32	$197.32	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $382.78 / $1,330.68	Professional		$132.91	$382.78	$1,330.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.38 / $210.00 / $441.65	Facility		$141.38	$210.00	$441.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $640.76 / $951.39	Professional		$494.22	$640.76	$951.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.43 / $438.43 / $482.13	Facility		$438.43	$438.43	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $622.57 / $902.88	Professional		$134.97	$622.57	$902.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,809.17 / $3,809.17 / $3,809.17	Facility		$3,809.17	$3,809.17	$3,809.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $597.00 / $5,855.00	Facility		$197.32	$597.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $543.41 / $1,296.93	Professional		$140.68	$543.41	$1,296.93
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 $253.79 / $563.03 / $1,495.93	Professional		$253.79	$563.03	$1,495.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $169.62 / $992.81	Facility		$169.62	$169.62	$992.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $633.27 / $976.34	Professional		$134.97	$633.27	$976.34