Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $281.84 / $457.09	Facility		$131.83	$281.84	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $302.00	Professional		$89.13	$125.89	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $389.05	Facility		$151.36	$151.36	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $288.40	Professional		$60.26	$60.26	$288.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $151.36	Facility		$91.20	$151.36	$151.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $416.87	Professional		$151.36	$151.36	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $323.59 / $537.03	Facility		$97.72	$323.59	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $724.44	Professional		$91.20	$190.55	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $416.87	Facility		$125.89	$194.98	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $288.40	Professional		$104.71	$125.89	$288.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $269.15	Professional		$91.20	$141.25	$269.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $281.84 / $549.54	Facility		$131.83	$281.84	$549.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $50,118.72	Facility		$194.98	$281.84	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Professional		$151.36	$151.36	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $181.97	Facility		$134.90	$151.36	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $199.53	Professional		$63.10	$91.20	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $109.65 / $177.83	Facility		$91.20	$109.65	$177.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $269.15	Professional		$95.50	$141.25	$269.15