Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,230.27	Facility		$363.08	$812.83	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $724.44	Professional		$288.40	$371.54	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,071.52	Facility		$416.87	$416.87	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $954.99	Professional		$204.17	$204.17	$954.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $416.87	Facility		$251.19	$416.87	$416.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $416.87	Professional		$302.00	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $891.25 / $1,513.56	Facility		$275.42	$891.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $1,995.26	Professional		$302.00	$630.96	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $1,148.15	Facility		$380.19	$537.03	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $794.33	Professional		$295.12	$416.87	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $741.31	Professional		$354.81	$416.87	$741.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,348.96	Facility		$275.42	$275.42	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $50,118.72	Facility		$537.03	$794.33	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $537.03	Professional		$416.87	$416.87	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $501.19	Facility		$371.54	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $630.96	Professional		$173.78	$251.19	$630.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $478.63 / $776.25	Facility		$208.93	$478.63	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $870.96	Professional		$354.81	$436.52	$870.96