Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,090.30 / $12,022.64	Facility		$104.71	$3,090.30	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $245.47	Professional		$51.29	$74.13	$245.47
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 $42.66 / $54.95 / $165.96	Professional		$42.66	$54.95	$165.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,258.93 / $4,073.80	Facility		$79.43	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $50,118.72	Facility		$95.50	$95.50	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $331.13	Professional		$58.88	$128.82	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $199.53	Facility		$60.26	$109.65	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $104.71	Professional		$54.95	$72.44	$104.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $295.12 / $338.84	Professional		$51.29	$295.12	$338.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,122.02	Facility		$724.44	$724.44	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $398.11	Professional		$69.18	$87.10	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $6,165.95	Facility		$1,513.56	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $194.98	Professional		$52.48	$81.28	$194.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $363.08	Facility		$45.71	$64.57	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $181.97 / $346.74	Professional		$46.77	$181.97	$346.74