Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,148.15	Facility		$371.54	$588.84	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $794.33	Professional		$416.87	$416.87	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $741.31	Professional		$165.96	$165.96	$741.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $416.87	Professional		$302.00	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $1,513.56	Facility		$269.15	$660.69	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,995.26	Professional		$416.87	$549.54	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $1,148.15	Facility		$416.87	$537.03	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $794.33	Professional		$295.12	$512.86	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $741.31	Professional		$346.74	$407.38	$741.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $794.33 / $1,202.26	Facility		$30.90	$794.33	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $50,118.72	Facility		$416.87	$794.33	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $426.58	Professional		$416.87	$416.87	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $501.19	Facility		$371.54	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $616.60	Professional		$165.96	$251.19	$616.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $478.63	Facility		$251.19	$416.87	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $831.76	Professional		$346.74	$416.87	$831.76