Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,290.87 / $7,244.36	Facility		$177.83	$2,290.87	$7,244.36
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	52	$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $776.25	Professional		$79.43	$257.04	$776.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $77.62 / $147.91 / $363.08	Professional	52	$77.62	$147.91	$363.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.38 / $104.71 / $134.90	Professional	53	$21.38	$104.71	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $549.54	Professional		$181.97	$229.09	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,258.93 / $4,073.80	Facility		$112.20	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $331.13	Professional		$112.20	$112.20	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,318.26 / $50,118.72	Facility		$134.90	$1,318.26	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	22	$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	52	$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	53	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $758.58	Professional		$112.20	$281.84	$758.58
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $134.90 / $144.54 / $316.23	Professional	53	$134.90	$144.54	$316.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $181.97 / $302.00	Facility		$83.18	$181.97	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $426.58	Professional		$181.97	$257.04	$426.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $501.19	Professional		$173.78	$316.23	$501.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $2,818.38	Facility		$724.44	$1,479.11	$2,818.38
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	52	$1,071.52	$1,071.52	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $50,118.72 / $75,857.76	Facility		$134.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $478.63	Professional		$257.04	$316.23	$478.63
MVP Health Care Facility/Professional Professional Modifier 53 Low / Median / High Price $123.03 / $144.54 / $316.23	Professional	53	$123.03	$144.54	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $6,165.95	Facility		$1,479.11	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $457.09	Professional		$72.44	$181.97	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $380.19	Facility		$64.57	$102.33	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $501.19	Professional		$173.78	$263.03	$501.19