Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $501.19	Facility		$162.18	$234.42	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $436.52	Professional		$117.49	$165.96	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $416.87	Professional		$109.65	$141.25	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $154.88	Facility		$85.11	$85.11	$154.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $239.88	Professional		$85.11	$154.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $4,168.69	Facility		$257.04	$371.54	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $794.33	Professional		$131.83	$281.84	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $426.58	Facility		$102.33	$162.18	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $380.19	Professional		$199.53	$263.03	$380.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $363.08	Professional		$151.36	$239.88	$363.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $4,677.35	Facility		$3,311.31	$3,388.44	$4,677.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $53,703.18	Facility		$177.83	$194.98	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $407.38	Professional		$204.17	$251.19	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $9,120.11	Facility		$5,011.87	$7,244.36	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $524.81	Professional		$144.54	$199.53	$524.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $1,348.96	Facility		$125.89	$151.36	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $416.87	Professional		$141.25	$239.88	$416.87