Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,981.07 / $10,232.93	Facility		$1,513.56	$3,981.07	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $588.84	Professional		$151.36	$218.78	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $309.03	Professional		$158.49	$186.21	$309.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $50,118.72	Facility		$354.81	$354.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,000.00 / $1,000.00	Professional		$190.55	$1,000.00	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $660.69	Facility		$173.78	$295.12	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $389.05	Professional		$190.55	$263.03	$389.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $371.54	Professional		$151.36	$223.87	$371.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $575.44	Professional		$158.49	$239.88	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $316.23	Facility		$128.82	$186.21	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $398.11	Professional		$128.82	$223.87	$398.11