Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $1,732.61 / $7,185.00	Facility		$110.43	$1,732.61	$7,185.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $257.00 / $421.89 / $2,279.65	Facility	50	$257.00	$421.89	$2,279.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $124.56 / $309.00	Professional		$59.32	$124.56	$309.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.69 / $189.41 / $445.00	Professional	50	$87.69	$189.41	$445.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $109.01 / $122.18	Professional		$109.01	$109.01	$122.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $155.06 / $155.06 / $155.06	Professional	50	$155.06	$155.06	$155.06
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 $91.70 / $116.27 / $271.02	Professional		$91.70	$116.27	$271.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.55 / $174.41 / $406.53	Professional	50	$137.55	$174.41	$406.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $129.13 / $4,050.00	Facility		$129.13	$129.13	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $129.13 / $159.68	Professional		$129.13	$129.13	$159.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $153.82	Facility		$81.28	$81.28	$153.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $140.57 / $326.42	Professional		$82.67	$140.57	$326.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $108.02 / $189.60 / $332.00	Facility		$108.02	$189.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $152.74 / $236.80	Professional		$127.28	$152.74	$236.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $152.22 / $207.89	Professional		$91.89	$152.22	$207.89
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $98.49 / $110.59	Professional		$97.89	$98.49	$110.59
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $140.31 / $140.31 / $147.74	Professional	50	$140.31	$140.31	$147.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.14 / $1,553.01 / $1,632.17	Facility		$1,503.14	$1,553.01	$1,632.17
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,193.46 / $2,193.46 / $2,368.80	Facility	50	$2,193.46	$2,193.46	$2,368.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $130.97 / $139.00	Professional		$108.49	$130.97	$139.00
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $168.00 / $196.45 / $208.50	Professional	50	$168.00	$196.45	$208.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $555.00 / $74,999.25	Facility		$81.28	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $142.04 / $372.90	Professional		$85.85	$142.04	$372.90
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $123.86 / $344.31	Professional		$89.69	$123.86	$344.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $124.00 / $531.78	Facility		$124.00	$124.00	$531.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $157.47 / $282.80	Professional		$91.89	$157.47	$282.80