Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,951.21 / $7,413.10	Facility		$407.38	$2,951.21	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	50	$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $891.25	Professional		$288.40	$371.54	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $741.31 / $1,778.28	Professional	50	$436.52	$741.31	$1,778.28
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $288.40 / $426.58 / $676.08	Professional	54	$288.40	$426.58	$676.08
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $44.67 / $53.70 / $66.07	Professional	55	$44.67	$53.70	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Professional		$295.12	$295.12	$316.23
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 $269.15 / $346.74 / $851.14	Professional		$269.15	$346.74	$851.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $512.86 / $1,258.93	Professional	50	$407.38	$512.86	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $6,165.95	Facility		$436.52	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $467.74	Professional		$436.52	$436.52	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $50,118.72	Facility		$512.86	$512.86	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	55	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $1,071.52	Professional		$257.04	$426.58	$1,071.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $1,047.13	Facility		$251.19	$346.74	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $691.83	Professional		$208.93	$309.03	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $831.76	Professional		$263.03	$537.03	$831.76
Excellus BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $204.17 / $549.54 / $776.25	Professional	54	$204.17	$549.54	$776.25
Excellus BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $52.48 / $85.11 / $141.25	Professional	55	$52.48	$85.11	$141.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $407.38	Professional		$288.40	$380.19	$407.38
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $616.60 / $616.60	Professional	50	$512.86	$616.60	$616.60
Highmark BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $281.84 / $288.40	Professional	54	$281.84	$281.84	$288.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $50,118.72 / $75,857.76	Facility		$281.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $676.08	Professional		$389.05	$407.38	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,162.28 / $6,165.95	Facility		$1,288.25	$3,162.28	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $724.44	Professional		$245.47	$338.84	$724.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $812.83	Facility		$251.19	$426.58	$812.83
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $204.17 / $204.17 / $338.84	Facility	54	$204.17	$204.17	$338.84
Univera Facility/Professional Facility Modifier 55 Low / Median / High Price $50.12 / $56.23 / $85.11	Facility	55	$50.12	$56.23	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,258.93	Professional		$263.03	$537.03	$1,258.93
Univera Facility/Professional Professional Modifier 54 Low / Median / High Price $204.17 / $436.52 / $724.44	Professional	54	$204.17	$436.52	$724.44
Univera Facility/Professional Professional Modifier 55 Low / Median / High Price $52.48 / $79.43 / $165.96	Professional	55	$52.48	$79.43	$165.96