Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $537.03	Facility		$109.65	$275.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $269.15	Professional		$85.11	$120.23	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $371.54	Facility		$141.25	$141.25	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $269.15	Professional		$57.54	$57.54	$269.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $141.25	Facility		$85.11	$141.25	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $141.25	Professional		$104.71	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $371.54	Facility		$93.33	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $691.83	Professional		$87.10	$181.97	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $389.05	Facility		$120.23	$186.21	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $269.15	Professional		$100.00	$141.25	$269.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $257.04	Professional		$117.49	$141.25	$257.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $354.81	Facility		$97.72	$151.36	$354.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $50,118.72	Facility		$186.21	$269.15	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Professional		$141.25	$141.25	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $190.55	Professional		$60.26	$85.11	$190.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $190.55	Facility		$107.15	$151.36	$190.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $281.84	Professional		$117.49	$141.25	$281.84