Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $478.63 / $794.33	Facility		$223.87	$478.63	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $512.86	Professional		$158.49	$223.87	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $676.08	Facility		$263.03	$263.03	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $537.03	Professional		$104.71	$104.71	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $263.03	Facility		$158.49	$263.03	$263.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $263.03	Professional		$190.55	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $562.34 / $954.99	Facility		$177.83	$562.34	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $1,258.93	Professional		$162.18	$363.08	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $758.58	Facility		$190.55	$316.23	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $501.19	Professional		$186.21	$223.87	$501.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $467.74	Professional		$158.49	$251.19	$467.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $891.25	Facility		$208.93	$295.12	$891.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $501.19 / $50,118.72	Facility		$257.04	$501.19	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $316.23	Facility		$234.42	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $354.81	Professional		$109.65	$158.49	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Facility		$158.49	$190.55	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $467.74	Professional		$158.49	$251.19	$467.74