Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.49 / $2,873.00 / $12,075.00	Facility		$155.49	$2,873.00	$12,075.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,818.76 / $3,274.10 / $8,528.12	Facility	50	$1,818.76	$3,274.10	$8,528.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $191.25 / $527.66	Professional		$103.18	$191.25	$527.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $335.12 / $2,482.80	Professional	50	$98.04	$335.12	$2,482.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $245.12 / $245.12	Professional		$245.12	$245.12	$245.12
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 $143.06 / $183.45 / $469.28	Professional		$143.06	$183.45	$469.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $222.94 / $280.16 / $707.85	Professional	50	$222.94	$280.16	$707.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $1,254.00 / $4,050.00	Facility		$149.69	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $275.27	Professional		$149.69	$149.69	$275.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Facility		$178.63	$178.63	$178.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $237.45 / $714.74	Professional		$118.69	$237.45	$714.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $138.33 / $332.00	Facility		$72.00	$138.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $316.16 / $1,846.71	Professional		$208.00	$316.16	$1,846.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $178.62 / $178.62	Facility		$178.62	$178.62	$178.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $224.22 / $407.26	Professional		$119.20	$224.22	$407.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $915.70 / $3,284.23	Facility		$142.19	$915.70	$3,284.23
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $202.90 / $432.00 / $2,922.88	Facility	50	$202.90	$432.00	$2,922.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.23 / $192.23 / $276.85	Professional		$192.23	$192.23	$276.85
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $415.28 / $415.28 / $417.57	Professional	50	$415.28	$415.28	$417.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $555.00 / $36,596.00	Facility		$178.63	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $254.28 / $674.22	Professional		$129.88	$254.28	$674.22
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 $173.44 / $265.08 / $636.02	Professional		$173.44	$265.08	$636.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $122.59 / $351.18	Facility		$122.59	$122.59	$351.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $244.93 / $407.26	Professional		$122.59	$244.93	$407.26