Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $7,079.46 / $18,197.01	Facility		$1,148.15	$7,079.46	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $8,709.64 / $23,442.29	Facility	50	$3,311.31	$8,709.64	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,737.80	Professional		$380.19	$660.69	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $630.96	Professional		$239.88	$407.38	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $16,595.87	Facility		$4,466.84	$8,317.64	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $851.14	Professional		$323.59	$389.05	$851.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,398.83 / $10,964.78	Facility		$616.60	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $12,302.69	Facility		$741.31	$1,445.44	$12,302.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	AS	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,548.82	Professional		$380.19	$645.65	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $1,659.59	Facility		$436.52	$562.34	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,000.00	Professional		$489.78	$630.96	$1,000.00
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 $331.13 / $575.44 / $912.01	Professional		$331.13	$575.44	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,079.46 / $16,218.10	Facility		$3,548.13	$7,079.46	$16,218.10
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,265.80 / $8,709.64 / $15,848.93	Facility	50	$4,265.80	$8,709.64	$15,848.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $1,047.13	Professional		$407.38	$501.19	$1,047.13
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 / $575.44 / $1,148.15	Professional		$398.11	$575.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,218.10	Facility		$2,398.83	$6,456.54	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $1,096.48	Professional		$331.13	$467.74	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,621.81	Facility		$354.81	$512.86	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,096.48	Professional		$354.81	$512.86	$1,096.48