Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.98 / $2,884.50 / $7,307.00	Facility		$357.98	$2,884.50	$7,307.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $154.31 / $298.97 / $491.50	Facility	52	$154.31	$298.97	$491.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.72 / $119.59 / $196.60	Facility	53	$61.72	$119.59	$196.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.56 / $606.41 / $1,171.00	Professional		$269.56	$606.41	$1,171.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $228.59 / $480.70	Professional		$228.59	$228.59	$480.70
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 $512.53 / $655.22 / $1,458.20	Professional		$512.53	$655.22	$1,458.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $364.83 / $1,716.00 / $6,213.00	Facility		$364.83	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $364.83 / $364.83 / $1,019.41	Professional		$364.83	$364.83	$1,019.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $1,409.00 / $39,142.00	Facility		$434.63	$1,409.00	$39,142.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $658.28 / $1,710.11	Professional		$285.77	$658.28	$1,710.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $286.31 / $360.00 / $738.00	Facility		$286.31	$360.00	$738.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.15 / $687.23 / $1,288.47	Professional		$429.15	$687.23	$1,288.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.66 / $598.66 / $639.45	Facility		$598.66	$598.66	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.62 / $815.65 / $1,224.75	Professional		$536.62	$815.65	$1,224.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.44 / $4,537.00 / $4,537.00	Facility		$1,550.44	$4,537.00	$4,537.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.59 / $370.85 / $452.91	Professional		$238.59	$370.85	$452.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $1,409.00 / $39,142.00	Facility		$434.63	$1,409.00	$39,142.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $321.42 / $848.95 / $1,741.32	Professional		$321.42	$848.95	$1,741.32
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 $529.40 / $748.33 / $1,767.06	Professional		$529.40	$748.33	$1,767.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.87 / $371.87 / $2,022.16	Facility		$371.87	$371.87	$2,022.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $543.58 / $815.65 / $1,324.40	Professional		$543.58	$815.65	$1,324.40