Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $831.76	Facility		$275.42	$524.81	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $501.19	Professional		$173.78	$223.87	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $707.95	Facility		$275.42	$275.42	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $407.38	Professional		$109.65	$109.65	$407.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $275.42	Facility		$165.96	$275.42	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $371.54	Professional		$275.42	$275.42	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $588.84 / $1,000.00	Facility		$181.97	$588.84	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $1,318.26	Professional		$165.96	$371.54	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $1,023.29	Facility		$316.23	$588.84	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $524.81	Professional		$190.55	$269.15	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $489.78	Professional		$218.78	$263.03	$489.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $50,118.72	Facility		$354.81	$512.86	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Professional		$275.42	$275.42	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $331.13	Facility		$245.47	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $363.08	Professional		$114.82	$165.96	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $288.40	Facility		$234.42	$288.40	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $660.69	Professional		$218.78	$263.03	$660.69