Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $257.04 / $363.08	Facility		$123.03	$257.04	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $134.90	Professional		$81.28	$102.33	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $316.23	Facility		$123.03	$123.03	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $851.14 / $1,258.93	Professional		$181.97	$851.14	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $123.03	Professional		$89.13	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $263.03 / $316.23	Facility		$79.43	$263.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $588.84 / $588.84	Professional		$123.03	$588.84	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $467.74	Facility		$123.03	$199.53	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $234.42	Professional		$128.82	$165.96	$234.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $218.78	Professional		$104.71	$120.23	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $50,118.72	Facility		$158.49	$229.09	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $154.88	Professional		$123.03	$123.03	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Facility		$109.65	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $177.83	Professional		$51.29	$72.44	$177.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $141.25	Facility		$104.71	$123.03	$141.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $239.88	Professional		$102.33	$123.03	$239.88