Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,071.52 / $3,162.28	Facility		$346.74	$1,071.52	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $794.33	Professional		$204.17	$275.42	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $467.74	Professional		$213.80	$257.04	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $1,949.84	Facility		$263.03	$575.44	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $1,047.13	Professional		$229.09	$416.87	$1,047.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $1,698.24	Facility		$436.52	$549.54	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $933.25	Professional		$457.09	$630.96	$933.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $457.09	Professional		$77.62	$229.09	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $1,288.25	Facility		$269.15	$660.69	$1,288.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $524.81	Professional		$257.04	$426.58	$524.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $691.83	Professional		$165.96	$295.12	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $173.78 / $269.15	Facility		$64.57	$173.78	$269.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $478.63	Professional		$151.36	$269.15	$478.63