Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $190.55	Facility		$112.20	$138.04	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $295.12	Professional		$89.13	$107.15	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $204.17	Professional		$83.18	$102.33	$204.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $53,703.18	Facility		$34.67	$169.82	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $457.09	Professional		$79.43	$190.55	$457.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $354.81	Facility		$91.20	$147.91	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $181.97	Professional		$100.00	$120.23	$181.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $251.19	Professional		$85.11	$131.83	$251.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $870.96	Facility		$109.65	$125.89	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $263.03	Professional		$117.49	$144.54	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $275.42	Professional		$85.11	$123.03	$275.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $346.74	Facility		$81.28	$107.15	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $257.04	Professional		$81.28	$117.49	$257.04