Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,884.03 / $7,762.47	Facility		$134.90	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $295.12	Professional		$93.33	$147.91	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $380.19	Professional		$114.82	$151.36	$380.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $16,595.87	Facility		$123.03	$123.03	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $204.17	Professional		$123.03	$123.03	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $50,118.72	Facility		$34.67	$151.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $467.74	Professional		$83.18	$181.97	$467.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $309.03	Facility		$91.20	$123.03	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $295.12	Professional		$169.82	$218.78	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $269.15	Professional		$107.15	$190.55	$269.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $177.83	Professional		$125.89	$177.83	$177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $239.88	Professional		$165.96	$208.93	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $338.84	Professional		$91.20	$158.49	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $138.04	Facility		$66.07	$109.65	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $269.15	Professional		$77.62	$151.36	$269.15