Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $2,570.40 / $7,413.10	Facility		$83.18	$2,570.40	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $3,019.95 / $15,848.93	Facility	50	$1,659.59	$3,019.95	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $239.88	Professional		$50.12	$91.20	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $141.25 / $436.52	Professional	50	$74.13	$141.25	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $60.26	Professional		$51.29	$51.29	$60.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $83.18 / $91.20	Professional	50	$83.18	$83.18	$91.20
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 $70.79 / $89.13 / $229.09	Professional		$70.79	$89.13	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $131.83 / $338.84	Professional	50	$107.15	$131.83	$338.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $16,595.87	Facility		$74.13	$74.13	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $128.82	Professional		$74.13	$74.13	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $50,118.72	Facility		$34.67	$87.10	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $363.08	Professional		$58.88	$114.82	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $144.54	Facility		$34.67	$56.23	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $223.87	Professional		$112.20	$158.49	$223.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $190.55	Professional		$70.79	$114.82	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Facility		$190.55	$190.55	$239.88
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	50	$165.96	$165.96	$165.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50,118.72 / $75,857.76	Facility		$46.77	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $398.11	Professional		$109.65	$154.88	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $223.87	Professional		$48.98	$93.33	$223.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $154.88	Facility		$42.66	$60.26	$154.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $186.21	Professional		$72.44	$107.15	$186.21