Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $1,258.93	Facility		$416.87	$741.31	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $776.25	Professional		$165.96	$165.96	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $218.78	Professional		$158.49	$218.78	$218.78
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 $1,862.09 / $1,862.09 / $1,905.46	Facility		$1,862.09	$1,862.09	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $794.33 / $50,118.72	Facility		$302.00	$794.33	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
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 / $588.84	Professional		$165.96	$251.19	$588.84
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