Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,090.30 / $7,762.47	Facility		$239.88	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $912.01	Professional		$162.18	$269.15	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $616.60	Professional		$181.97	$239.88	$616.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,698.24 / $6,165.95	Facility		$263.03	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $380.19	Professional		$263.03	$263.03	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,659.59 / $50,118.72	Facility		$309.03	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $660.69	Professional		$181.97	$323.59	$660.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $660.69	Facility		$162.18	$213.80	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $630.96	Professional		$323.59	$389.05	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $489.78	Professional		$213.80	$281.84	$489.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $3,311.31	Facility		$478.63	$794.33	$3,311.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $50,118.72 / $75,857.76	Facility		$190.55	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $407.38	Professional		$316.23	$398.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $512.86	Professional		$125.89	$234.42	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $588.84	Facility		$151.36	$199.53	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $562.34	Professional		$208.93	$309.03	$562.34