Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $724.44 / $1,230.27	Facility		$288.40	$724.44	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $269.15 / $389.05	Professional		$89.13	$269.15	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $436.52	Professional		$66.07	$66.07	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $407.38	Professional		$295.12	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $1,047.13	Facility		$263.03	$870.96	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,949.84	Professional		$407.38	$588.84	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,548.82	Facility		$407.38	$676.08	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $794.33	Professional		$426.58	$549.54	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $724.44	Professional		$338.84	$398.11	$724.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $562.34	Facility		$251.19	$251.19	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $50,118.72	Facility		$524.81	$776.25	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $407.38 / $489.78	Facility		$363.08	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $257.04	Professional		$69.18	$100.00	$257.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $467.74	Facility		$245.47	$407.38	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $812.83	Professional		$338.84	$407.38	$812.83