Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,754.23 / $7,413.10	Facility		$114.82	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $346.74	Professional		$75.86	$147.91	$346.74
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 $134.90 / $169.82 / $338.84	Professional		$134.90	$169.82	$338.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $4,073.80	Facility		$107.15	$107.15	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $208.93	Professional		$107.15	$107.15	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $50,118.72	Facility		$34.67	$128.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $524.81	Professional		$93.33	$199.53	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $85.11 / $229.09	Facility		$56.23	$85.11	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $316.23	Professional		$162.18	$218.78	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $316.23	Professional		$120.23	$213.80	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $288.40	Facility		$223.87	$223.87	$288.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $50,118.72 / $75,857.76	Facility		$89.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $398.11	Professional		$169.82	$208.93	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $338.84	Professional		$67.61	$131.83	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $281.84	Facility		$61.66	$97.72	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $316.23	Professional		$120.23	$194.98	$316.23