Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,019.95 / $7,762.47	Facility		$190.55	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $426.58	Professional		$104.71	$173.78	$426.58
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 $151.36 / $194.98 / $436.52	Professional		$151.36	$194.98	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $6,165.95	Facility		$173.78	$173.78	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $53,703.18	Facility		$208.93	$208.93	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $478.63	Professional		$109.65	$208.93	$478.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $398.11	Facility		$95.50	$134.90	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $363.08	Professional		$97.72	$181.97	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $363.08	Professional		$144.54	$213.80	$363.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $50,118.72 / $75,857.76	Facility		$109.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $398.11	Professional		$229.09	$295.12	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,165.95	Facility		$1,621.81	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $354.81	Professional		$79.43	$158.49	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $309.03	Facility		$100.00	$131.83	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $416.87	Professional		$144.54	$229.09	$416.87