Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $602.56	Facility		$169.82	$380.19	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $363.08	Professional		$104.71	$169.82	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $512.86	Facility		$199.53	$199.53	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $407.38	Professional		$97.72	$97.72	$407.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $199.53	Facility		$117.49	$199.53	$199.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $199.53	Professional		$144.54	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $426.58 / $707.95	Facility		$131.83	$426.58	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $954.99	Professional		$120.23	$281.84	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $199.53 / $549.54	Facility		$61.66	$199.53	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $371.54	Professional		$138.04	$194.98	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $354.81	Professional		$154.88	$186.21	$354.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $870.96	Facility		$380.19	$478.63	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $50,118.72	Facility		$239.88	$371.54	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $239.88	Facility		$177.83	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $295.12	Professional		$83.18	$117.49	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $208.93 / $251.19	Facility		$81.28	$208.93	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $616.60	Professional		$158.49	$199.53	$616.60