Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,630.27 / $7,585.78	Facility		$123.03	$2,630.27	$7,585.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	52	$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $501.19	Professional		$77.62	$204.17	$501.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $380.19 / $630.96	Professional	50	$134.90	$380.19	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
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 $204.17 / $239.88 / $562.34	Professional		$204.17	$239.88	$562.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $363.08 / $831.76	Professional	50	$302.00	$363.08	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $6,165.95	Facility		$114.82	$114.82	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $316.23	Professional		$114.82	$114.82	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $50,118.72	Facility		$34.67	$141.25	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	52	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $239.88 / $676.08	Professional		$89.13	$239.88	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $275.42	Facility		$74.13	$93.33	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $537.03	Professional		$269.15	$380.19	$537.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $467.74	Professional		$186.21	$269.15	$467.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $794.33 / $2,630.27	Facility		$275.42	$794.33	$2,630.27
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility	50	$6,606.93	$6,606.93	$6,606.93
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $177.83 / $457.09	Professional	50	$177.83	$177.83	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $537.03	Professional		$245.47	$371.54	$537.03
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 $77.62 / $194.98 / $478.63	Professional		$77.62	$194.98	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $141.25	Facility		$66.07	$95.50	$141.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $446.68	Professional		$154.88	$234.42	$446.68