Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $602.56	Facility		$186.21	$346.74	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $363.08	Professional		$100.00	$162.18	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $478.63	Facility		$186.21	$186.21	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $275.42	Professional		$74.13	$74.13	$275.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $186.21	Facility		$112.20	$186.21	$186.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $186.21	Professional		$144.54	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $398.11 / $660.69	Facility		$123.03	$398.11	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $891.25	Professional		$112.20	$251.19	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $676.08	Facility		$213.80	$398.11	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $354.81	Professional		$128.82	$181.97	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $331.13	Professional		$147.91	$177.83	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $2,089.30	Facility		$162.18	$162.18	$2,089.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $50,118.72	Facility		$239.88	$346.74	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $223.87	Facility		$165.96	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $229.09	Professional		$77.62	$112.20	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $588.84	Facility		$158.49	$194.98	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $575.44	Professional		$147.91	$177.83	$575.44