Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,951.21 / $8,912.51	Facility		$363.08	$2,951.21	$8,912.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1.78 / $1.78 / $1.78	Facility	52	$1.78	$1.78	$1.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $407.38 / $891.25	Professional		$81.28	$407.38	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $7,413.10	Facility		$2,630.27	$4,365.16	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $831.76	Professional		$363.08	$436.52	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,698.24 / $6,165.95	Facility		$281.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $645.65	Professional		$281.84	$281.84	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $5,011.87	Facility		$338.84	$338.84	$5,011.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $1,148.15	Professional		$229.09	$489.78	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $676.08	Facility		$204.17	$281.84	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,122.02	Professional		$562.34	$724.44	$1,122.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,202.26	Professional		$398.11	$831.76	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,318.26 / $2,511.89	Facility		$501.19	$1,318.26	$2,511.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $758.58	Professional		$186.21	$302.00	$758.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $50,118.72 / $75,857.76	Facility		$346.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $977.24	Professional		$398.11	$549.54	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $7,943.28	Facility		$1,698.24	$3,548.13	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $851.14	Professional		$173.78	$371.54	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $1,513.56	Facility		$162.18	$288.40	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $758.58 / $1,122.02	Professional		$354.81	$758.58	$1,122.02