Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.31 / $2,220.00 / $10,686.00	Facility		$87.31	$2,220.00	$10,686.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $381.46 / $1,164.22 / $3,943.39	Facility	50	$381.46	$1,164.22	$3,943.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $97.35 / $301.33	Professional		$57.53	$97.35	$301.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.08 / $139.91 / $452.01	Professional	50	$85.08	$139.91	$452.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $126.31 / $126.31	Professional		$126.31	$126.31	$126.31
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 $74.20 / $93.70 / $228.62	Professional		$74.20	$93.70	$228.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.89 / $141.36 / $344.22	Professional	50	$111.89	$141.36	$344.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.32 / $1,254.00 / $4,050.00	Facility		$85.32	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $85.32 / $139.27	Professional		$85.32	$85.32	$139.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $14,648.00	Facility		$101.68	$101.68	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $122.78 / $350.00	Professional		$66.89	$122.78	$350.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $77.90 / $332.00	Facility		$41.00	$77.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $160.96 / $1,076.92	Professional		$105.90	$160.96	$1,076.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $90.94 / $90.94	Facility		$90.94	$90.94	$90.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $96.32 / $205.83	Professional		$58.13	$96.32	$205.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $144.00 / $1,227.00	Facility		$71.09	$144.00	$1,227.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $97.27 / $355.80 / $2,922.00	Facility	50	$97.27	$355.80	$2,922.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $95.51 / $137.21	Professional		$95.51	$95.51	$137.21
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $205.82 / $205.82 / $206.95	Professional	50	$205.82	$205.82	$206.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $555.00 / $36,596.00	Facility		$101.68	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $136.81 / $346.01	Professional		$71.56	$136.81	$346.01
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $132.09 / $317.01	Professional		$84.92	$132.09	$317.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $68.83 / $198.91	Facility		$68.83	$68.83	$198.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $124.70 / $205.83	Professional		$67.44	$124.70	$205.83