Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,754.23 / $7,413.10	Facility		$69.18	$2,754.23	$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 $28.18 / $91.20 / $380.19	Professional		$28.18	$91.20	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $208.93 / $2,454.71	Professional	50	$125.89	$208.93	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $363.08	Professional		$23.44	$23.44	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$46.77
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 $28.84 / $37.15 / $380.19	Professional		$28.84	$37.15	$380.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $53.70 / $575.44	Professional	50	$43.65	$53.70	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $1,258.93 / $4,073.80	Facility		$35.48	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $47.86	Professional		$35.48	$35.48	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $50,118.72	Facility		$41.69	$41.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $97.72 / $416.87	Professional		$27.54	$97.72	$416.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $75.86 / $112.20	Facility		$25.12	$75.86	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $87.10	Professional		$41.69	$56.23	$87.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $158.49	Professional		$30.20	$45.71	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $50,118.72 / $75,857.76	Facility		$89.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $398.11	Professional		$40.74	$57.54	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $6,165.95	Facility		$1,621.81	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $190.55	Professional		$24.55	$44.67	$190.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $416.87	Facility		$20.42	$28.84	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $158.49	Professional		$28.18	$45.71	$158.49