Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $549.54 / $776.25	Facility		$251.19	$549.54	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $630.96	Professional		$281.84	$380.19	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $549.54	Professional		$512.86	$512.86	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $1,096.48	Professional		$416.87	$426.58	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $575.44	Facility		$524.81	$575.44	$575.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,230.27 / $50,118.72	Facility		$426.58	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $691.83	Professional		$309.03	$309.03	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,691.53	Facility		$691.83	$1,148.15	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,348.96	Professional		$436.52	$758.58	$1,348.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $489.78	Facility		$457.09	$457.09	$489.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $457.09	Professional		$407.38	$436.52	$457.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $50,118.72 / $75,857.76	Facility		$1,000.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $660.69	Professional		$457.09	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $537.03 / $933.25	Facility		$281.84	$537.03	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $575.44	Professional		$229.09	$371.54	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $489.78	Facility		$407.38	$426.58	$489.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $457.09	Professional		$407.38	$436.52	$457.09