Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,090.30 / $7,762.47	Facility		$213.80	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $588.84	Professional		$134.90	$208.93	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $537.03	Professional		$154.88	$194.98	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $6,165.95	Facility		$204.17	$204.17	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $316.23	Professional		$204.17	$204.17	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $251.19 / $50,118.72	Facility		$34.67	$251.19	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $758.58	Professional		$186.21	$323.59	$758.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $177.83 / $524.81	Facility		$154.88	$177.83	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $457.09	Professional		$245.47	$331.13	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $575.44	Professional		$158.49	$269.15	$575.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $6,456.54	Facility		$4,265.80	$4,265.80	$6,456.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $457.09	Professional		$257.04	$338.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $524.81	Professional		$147.91	$229.09	$524.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $501.19	Facility		$117.49	$158.49	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $478.63	Professional		$158.49	$269.15	$478.63