Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $645.65	Facility		$213.80	$398.11	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $354.81	Professional		$85.11	$173.78	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $562.34	Facility		$213.80	$213.80	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $371.54	Professional		$85.11	$85.11	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $213.80	Facility		$128.82	$213.80	$213.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $213.80	Professional		$154.88	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $457.09 / $776.25	Facility		$144.54	$457.09	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $1,023.29	Professional		$128.82	$281.84	$1,023.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $213.80 / $588.84	Facility		$61.66	$213.80	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $407.38	Professional		$151.36	$213.80	$407.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $380.19	Professional		$158.49	$213.80	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $316.23 / $724.44	Facility		$89.13	$316.23	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $50,118.72	Facility		$194.98	$407.38	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $229.09	Professional		$213.80	$213.80	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $257.04	Facility		$194.98	$213.80	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $281.84	Professional		$89.13	$128.82	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $251.19	Facility		$181.97	$213.80	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $426.58	Professional		$173.78	$213.80	$426.58