Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $3,548.13 / $7,943.28	Facility		$147.91	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $288.40	Professional		$85.11	$104.71	$288.40
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 $66.07 / $85.11 / $263.03	Professional		$66.07	$85.11	$263.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,258.93 / $4,073.80	Facility		$134.90	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $50,118.72	Facility		$158.49	$158.49	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $501.19	Professional		$79.43	$194.98	$501.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $338.84	Facility		$89.13	$109.65	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $177.83	Professional		$93.33	$123.03	$177.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $204.17	Professional		$77.62	$112.20	$204.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,897.79	Facility		$2,089.30	$2,089.30	$4,897.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $50,118.72 / $75,857.76	Facility		$107.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $398.11	Professional		$120.23	$144.54	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $288.40	Professional		$53.70	$104.71	$288.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $338.84	Facility		$77.62	$102.33	$338.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $302.00	Professional		$77.62	$112.20	$302.00