Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,090.30 / $7,762.47	Facility		$109.65	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $354.81	Professional		$66.07	$107.15	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $199.53	Professional		$69.18	$87.10	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $37,153.52	Facility		$107.15	$107.15	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
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 $77.62 / $141.25 / $346.74	Professional		$77.62	$141.25	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $251.19	Facility		$69.18	$91.20	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $134.90	Professional		$77.62	$100.00	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $186.21	Professional		$64.57	$107.15	$186.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $50,118.72 / $75,857.76	Facility		$263.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $398.11	Professional		$95.50	$120.23	$398.11
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 $72.44 / $104.71 / $204.17	Professional		$72.44	$104.71	$204.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $281.84	Facility		$61.66	$85.11	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $239.88	Professional		$61.66	$107.15	$239.88