Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,238.72 / $7,762.47	Facility		$177.83	$2,238.72	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $602.56	Professional		$120.23	$173.78	$602.56
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 $151.36 / $190.55 / $426.58	Professional		$151.36	$190.55	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $8,912.51	Facility		$181.97	$181.97	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $50,118.72	Facility		$34.67	$223.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $724.44	Professional		$162.18	$281.84	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $467.74	Facility		$141.25	$239.88	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $338.84	Professional		$177.83	$234.42	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $331.13	Professional		$107.15	$190.55	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $398.11	Professional		$190.55	$251.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $6,165.95	Facility		$1,698.24	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $416.87	Professional		$128.82	$186.21	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $478.63	Facility		$104.71	$141.25	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $416.87	Professional		$123.03	$190.55	$416.87