Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,801.89 / $8,709.64	Facility		$524.81	$3,801.89	$8,709.64
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	22	$3,981.07	$3,981.07	$3,981.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,549.93 / $14,454.40 / $14,454.40	Facility	50	$9,549.93	$14,454.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $2,137.96	Professional		$380.19	$575.44	$2,137.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,380.38 / $3,630.78	Professional	50	$676.08	$1,380.38	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $416.87	Professional		$208.93	$208.93	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $1,202.26	Professional		$331.13	$416.87	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $602.56 / $1,819.70	Professional	50	$478.63	$602.56	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,698.24 / $6,165.95	Facility		$616.60	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Professional		$616.60	$616.60	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $50,118.72	Facility		$741.31	$741.31	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $2,041.74	Professional		$416.87	$645.65	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,148.15 / $1,949.84	Facility		$501.19	$1,148.15	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,445.44	Professional		$562.34	$776.25	$1,445.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $870.96 / $1,202.26	Professional		$363.08	$870.96	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $4,466.84	Facility		$1,096.48	$2,041.74	$4,466.84
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	50	$1,995.26	$1,995.26	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $794.33	Professional		$426.58	$616.60	$794.33
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	50	$933.25	$933.25	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $50,118.72 / $75,857.76	Facility		$426.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,000.00	Professional		$398.11	$602.56	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,445.44	Professional		$371.54	$588.84	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $1,819.70	Facility		$363.08	$512.86	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,380.38	Professional		$363.08	$691.83	$1,380.38