Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,090.30 / $10,964.78	Facility		$316.23	$3,090.30	$10,964.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility	52	$4,265.80	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $691.83 / $1,995.26	Professional		$199.53	$691.83	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $1,479.11	Professional		$158.49	$173.78	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,778.28	Professional		$933.25	$1,122.02	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,258.93 / $4,073.80	Facility		$288.40	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $1,318.26	Professional		$288.40	$288.40	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $346.74 / $4,365.16	Facility		$34.67	$346.74	$4,365.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $707.95 / $2,290.87	Professional		$229.09	$707.95	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $676.08	Facility		$208.93	$281.84	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,778.28	Professional		$912.01	$1,148.15	$1,778.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,698.24	Professional		$741.31	$1,023.29	$1,698.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $6,165.95	Facility		$1,862.09	$2,691.53	$6,165.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $2,630.27	Professional		$251.19	$251.19	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $50,118.72 / $75,857.76	Facility		$416.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,230.27 / $2,137.96	Professional		$398.11	$1,230.27	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $8,128.31	Facility		$1,698.24	$3,801.89	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $645.65 / $1,698.24	Professional		$177.83	$645.65	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $794.33	Facility		$162.18	$239.88	$794.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,698.24	Professional		$575.44	$977.24	$1,698.24