Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,162.28 / $7,762.47	Facility		$165.96	$3,162.28	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $524.81	Professional		$87.10	$229.09	$524.81
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 $177.83 / $234.42 / $660.69	Professional		$177.83	$234.42	$660.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $4,073.80	Facility		$141.25	$141.25	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $380.19	Professional		$141.25	$141.25	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $50,118.72	Facility		$34.67	$169.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $338.84 / $933.25	Professional		$120.23	$338.84	$933.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $316.23	Facility		$97.72	$134.90	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $512.86	Professional		$263.03	$354.81	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $549.54	Professional		$213.80	$309.03	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $3,388.44	Facility		$724.44	$1,698.24	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $676.08	Professional		$316.23	$371.54	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $6,165.95	Facility		$1,513.56	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $190.55 / $562.34	Professional		$70.79	$190.55	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $144.54	Facility		$79.43	$104.71	$144.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $512.86	Professional		$169.82	$269.15	$512.86