Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,165.95 / $11,220.18	Facility		$831.76	$6,165.95	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $9,549.93 / $11,220.18	Facility	50	$3,162.28	$9,549.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,041.74	Professional		$467.74	$794.33	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $977.24	Professional		$436.52	$501.19	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,000.00	Professional		$446.68	$537.03	$1,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,398.83 / $10,964.78	Facility		$741.31	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $7,079.46	Facility		$891.25	$891.25	$7,079.46
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,862.09	Professional		$436.52	$741.31	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,995.26	Facility		$524.81	$676.08	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,202.26	Professional		$588.84	$776.25	$1,202.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,096.48	Professional		$398.11	$676.08	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,888.44 / $8,511.38	Facility		$2,754.23	$5,888.44	$8,511.38
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.11 / $10,471.29 / $11,481.54	Facility	50	$9,120.11	$10,471.29	$11,481.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $50,118.72 / $75,857.76	Facility		$501.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,380.38	Professional		$398.11	$691.83	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,623.41 / $11,748.98	Facility		$2,137.96	$5,623.41	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,318.26	Professional		$398.11	$562.34	$1,318.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $616.60 / $1,905.46	Facility		$426.58	$616.60	$1,905.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,380.38	Professional		$426.58	$616.60	$1,380.38