Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,818.38 / $7,762.47	Facility		$213.80	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $588.84	Professional		$151.36	$208.93	$588.84
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 $144.54 / $181.97 / $489.78	Professional		$144.54	$181.97	$489.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,258.93 / $4,073.80	Facility		$223.87	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $263.03	Professional		$223.87	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $50,118.72	Facility		$34.67	$263.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $707.95	Professional		$173.78	$316.23	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $562.34	Facility		$158.49	$204.17	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $389.05	Professional		$204.17	$269.15	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $389.05	Professional		$154.88	$223.87	$389.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,570.88	Facility		$1,819.70	$1,819.70	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $50,118.72 / $75,857.76	Facility		$177.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $478.63	Professional		$218.78	$257.04	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $512.86	Professional		$134.90	$194.98	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $389.05	Facility		$125.89	$169.82	$389.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $446.68	Professional		$147.91	$218.78	$446.68