Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $309.03	Facility		$104.71	$131.83	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $309.03	Professional		$75.86	$112.20	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $234.42	Professional		$89.13	$109.65	$234.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $154.88 / $50,118.72	Facility		$34.67	$154.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $446.68	Professional		$109.65	$194.98	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $257.04 / $467.74	Facility		$100.00	$257.04	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $165.96	Professional		$91.20	$123.03	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $190.55	Professional		$61.66	$107.15	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $398.11	Professional		$112.20	$151.36	$398.11
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 $81.28 / $117.49 / $263.03	Professional		$81.28	$117.49	$263.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $331.13	Facility		$72.44	$97.72	$331.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $245.47	Professional		$72.44	$107.15	$245.47