Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.87 / $2,345.00 / $7,235.00	Facility		$111.87	$2,345.00	$7,235.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,481.60 / $1,481.60 / $1,481.60	Facility	50	$1,481.60	$1,481.60	$1,481.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $189.37 / $427.09	Professional		$74.52	$189.37	$427.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $208.99 / $208.99	Professional		$208.99	$208.99	$208.99
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 $136.16 / $188.46 / $459.60	Professional		$136.16	$188.46	$459.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.15 / $282.69 / $689.40	Professional	50	$223.15	$282.69	$689.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $1,254.00 / $4,050.00	Facility		$119.07	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $119.07 / $327.72	Professional		$119.07	$119.07	$327.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $234.03 / $625.22	Professional		$84.49	$234.03	$625.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $124.89 / $332.00	Facility		$75.00	$124.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $341.02 / $500.82	Professional		$243.19	$341.02	$500.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $208.83 / $208.83	Facility		$208.83	$208.83	$208.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $267.02 / $485.01	Professional		$175.23	$267.02	$485.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.31 / $1,175.31 / $3,380.80	Facility		$1,175.31	$1,175.31	$3,380.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $555.00 / $597.00	Facility		$143.26	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $264.22 / $648.73	Professional		$98.47	$264.22	$648.73
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 $189.24 / $283.86 / $657.48	Professional		$189.24	$283.86	$657.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $99.05 / $355.73	Facility		$99.05	$99.05	$355.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $267.02 / $485.01	Professional		$184.07	$267.02	$485.01