Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $309.03 / $512.86	Facility		$120.23	$309.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $295.12	Professional		$83.18	$147.91	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $446.68	Facility		$169.82	$169.82	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $281.84	Professional		$67.61	$67.61	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $169.82	Facility		$102.33	$169.82	$169.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $169.82	Professional		$123.03	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $363.08 / $616.60	Facility		$114.82	$363.08	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $812.83	Professional		$100.00	$204.17	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $169.82 / $416.87	Facility		$21.88	$169.82	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $323.59	Professional		$120.23	$169.82	$323.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $162.18 / $302.00	Professional		$57.54	$162.18	$302.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $363.08 / $616.60	Facility		$79.43	$363.08	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $323.59 / $50,118.72	Facility		$114.82	$323.59	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $204.17	Facility		$151.36	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $213.80	Professional		$64.57	$93.33	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $144.54 / $181.97	Facility		$23.44	$144.54	$181.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $162.18 / $338.84	Professional		$53.70	$162.18	$338.84