Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $645.65 / $1,047.13	Facility		$346.74	$645.65	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $812.83	Professional		$257.04	$323.59	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $891.25	Facility		$346.74	$346.74	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $891.25	Professional		$169.82	$169.82	$891.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $346.74	Facility		$208.93	$346.74	$346.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $346.74	Professional		$251.19	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $851.14 / $1,230.27	Facility		$229.09	$851.14	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $1,659.59	Professional		$213.80	$501.19	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $398.11 / $954.99	Facility		$194.98	$398.11	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $660.69	Professional		$239.88	$338.84	$660.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $616.60	Professional		$295.12	$346.74	$616.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,122.02	Facility		$588.84	$851.14	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $50,118.72	Facility		$416.87	$645.65	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $446.68	Professional		$346.74	$346.74	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $416.87	Facility		$309.03	$346.74	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $512.86	Professional		$144.54	$208.93	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $794.33	Facility		$263.03	$363.08	$794.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $1,071.52	Professional		$295.12	$363.08	$1,071.52