Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $2,244.67 / $10,965.00	Facility		$65.13	$2,244.67	$10,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $721.91 / $1,587.90 / $10,517.90	Facility	50	$721.91	$1,587.90	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $90.79 / $207.59	Professional		$48.16	$90.79	$207.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.54 / $492.00 / $857.00	Professional	50	$83.54	$492.00	$857.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $65.23 / $65.23	Professional		$65.23	$65.23	$65.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $79.89 / $197.58	Professional		$62.09	$79.89	$197.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.87 / $122.70 / $296.37	Professional	50	$95.87	$122.70	$296.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $59.98 / $4,050.00	Facility		$59.98	$59.98	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $59.98 / $110.11	Professional		$59.98	$59.98	$110.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Facility		$70.36	$70.36	$70.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $102.83 / $255.72	Professional		$48.69	$102.83	$255.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $79.00 / $332.00	Facility		$48.70	$79.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $123.17 / $704.08	Professional		$80.22	$123.17	$704.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $68.89 / $68.89	Facility		$68.89	$68.89	$68.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $89.56 / $158.80	Professional		$63.16	$89.56	$158.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $856.48 / $2,262.11	Facility		$93.00	$856.48	$2,262.11
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $168.14 / $1,830.03 / $3,682.32	Facility	50	$168.14	$1,830.03	$3,682.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $113.44 / $114.07	Professional		$81.12	$113.44	$114.07
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $170.16 / $170.16 / $227.03	Professional	50	$170.16	$170.16	$227.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $555.00 / $36,596.00	Facility		$70.36	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $110.73 / $265.51	Professional		$50.39	$110.73	$265.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $104.38 / $256.69	Professional		$69.62	$104.38	$256.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $335.15	Facility		$48.69	$48.69	$335.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $95.29 / $170.50	Professional		$68.89	$95.29	$170.50