Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $2,818.38 / $9,120.11	Facility		$89.13	$2,818.38	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $338.84	Professional		$56.23	$123.03	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $316.23	Professional		$95.50	$123.03	$316.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $4,073.80	Facility		$89.13	$89.13	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $204.17	Professional		$89.13	$89.13	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $53,703.18	Facility		$34.67	$104.71	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $323.59	Professional		$64.57	$128.82	$323.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $194.98	Facility		$54.95	$66.07	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $239.88	Professional		$87.10	$128.82	$239.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $257.04	Professional		$95.50	$147.91	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $190.55	Professional		$144.54	$169.82	$190.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $50,118.72 / $75,857.76	Facility		$66.07	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $398.11	Professional		$165.96	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $234.42	Professional		$43.65	$93.33	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $234.42	Facility		$50.12	$67.61	$234.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $295.12	Professional		$87.10	$158.49	$295.12