Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,884.03 / $7,413.10	Facility		$177.83	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $588.84	Professional		$125.89	$218.78	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $512.86	Professional		$177.83	$223.87	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,258.93 / $4,073.80	Facility		$169.82	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $288.40	Professional		$169.82	$169.82	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,318.26 / $50,118.72	Facility		$204.17	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $724.44	Professional		$141.25	$281.84	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $269.15	Facility		$50.12	$120.23	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $407.38	Professional		$213.80	$288.40	$407.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $501.19	Professional		$158.49	$275.42	$501.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $426.58	Professional		$245.47	$295.12	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $467.74	Professional		$102.33	$181.97	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $363.08	Facility		$100.00	$162.18	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $426.58	Professional		$158.49	$263.03	$426.58