Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,715.35 / $8,511.38	Facility		$489.78	$3,715.35	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $6,456.54 / $10,715.19	Facility	50	$3,467.37	$6,456.54	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $954.99	Professional		$131.83	$302.00	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $501.19 / $2,041.74	Professional	50	$141.25	$501.19	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $18,197.01	Facility		$3,388.44	$7,413.10	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $1,258.93	Professional		$302.00	$398.11	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $588.84 / $1,819.70	Professional	50	$457.09	$588.84	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,698.24 / $6,165.95	Facility		$218.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $630.96	Professional		$218.78	$218.78	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,659.59 / $50,118.72	Facility		$263.03	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	22	$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	52	$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	53	$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $501.19 / $1,445.44	Professional		$173.78	$501.19	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $537.03	Facility		$162.18	$257.04	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $776.25	Professional		$398.11	$524.81	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $851.14	Professional		$346.74	$549.54	$851.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,630.78 / $6,760.83	Facility		$1,096.48	$3,630.78	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $4,570.88 / $7,943.28	Facility	50	$2,238.72	$4,570.88	$7,943.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $50,118.72 / $75,857.76	Facility		$169.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $977.24	Professional		$398.11	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $363.08 / $912.01	Professional		$134.90	$363.08	$912.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $537.03	Facility		$125.89	$199.53	$537.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $851.14	Professional		$323.59	$478.63	$851.14