Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,548.13 / $10,000.00	Facility		$190.55	$3,548.13	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $575.44	Professional		$125.89	$229.09	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $524.81 / $1,230.27	Professional	50	$295.12	$524.81	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	50	$426.58	$426.58	$426.58
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 $181.97 / $229.09 / $524.81	Professional		$181.97	$229.09	$524.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $338.84 / $794.33	Professional	50	$275.42	$338.84	$794.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,258.93 / $8,912.51	Facility		$181.97	$1,258.93	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $281.84	Professional		$181.97	$181.97	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $50,118.72	Facility		$34.67	$223.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $724.44	Professional		$141.25	$295.12	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $257.04 / $467.74	Facility		$134.90	$257.04	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $416.87	Professional		$213.80	$288.40	$416.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $426.58	Professional		$147.91	$234.42	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $2,344.23	Facility		$524.81	$549.54	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $50,118.72 / $75,857.76	Facility		$134.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $416.87	Professional		$239.88	$295.12	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $4,897.79	Facility		$1,148.15	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $489.78	Professional		$81.28	$173.78	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $416.87	Facility		$109.65	$141.25	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $478.63	Professional		$147.91	$234.42	$478.63