Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,019.95 / $7,413.10	Facility		$109.65	$3,019.95	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	50	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $281.84	Professional		$57.54	$114.82	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $371.54 / $2,454.71	Professional	50	$91.20	$371.54	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $467.74	Professional		$56.23	$56.23	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
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 $87.10 / $107.15 / $288.40	Professional		$87.10	$107.15	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $162.18 / $426.58	Professional	50	$128.82	$162.18	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,258.93 / $4,073.80	Facility		$83.18	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $141.25	Professional		$83.18	$83.18	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $50,118.72	Facility		$100.00	$100.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $389.05	Professional		$67.61	$141.25	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $199.53	Facility		$61.66	$81.28	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $239.88	Professional		$120.23	$169.82	$239.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $208.93	Professional		$89.13	$125.89	$208.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $50,118.72 / $75,857.76	Facility		$66.07	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $398.11	Professional		$120.23	$165.96	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $269.15	Professional		$56.23	$107.15	$269.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $302.00	Facility		$47.86	$67.61	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $234.42	Professional		$79.43	$123.03	$234.42