Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $371.54	Facility		$123.03	$229.09	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $199.53	Professional		$81.28	$107.15	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $316.23	Facility		$123.03	$123.03	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $275.42	Professional		$60.26	$60.26	$275.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $123.03	Facility		$74.13	$123.03	$123.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $123.03	Professional		$89.13	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $263.03 / $436.52	Facility		$81.28	$263.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $588.84	Professional		$83.18	$177.83	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $338.84	Facility		$109.65	$158.49	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $234.42	Professional		$85.11	$120.23	$234.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $218.78	Professional		$104.71	$123.03	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $50,118.72	Facility		$158.49	$229.09	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $154.88	Professional		$123.03	$123.03	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Facility		$109.65	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $177.83	Professional		$51.29	$74.13	$177.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $194.98	Facility		$104.71	$128.82	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $239.88	Professional		$104.71	$123.03	$239.88