Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $269.15 / $489.78	Facility		$120.23	$269.15	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $323.59	Professional		$93.33	$138.04	$323.59
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 $63.10 / $63.10 / $338.84	Professional		$63.10	$63.10	$338.84
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 $95.50 / $302.00 / $512.86	Facility		$95.50	$302.00	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $691.83	Professional		$95.50	$204.17	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $416.87	Facility		$102.33	$169.82	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $269.15	Professional		$100.00	$120.23	$269.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $257.04	Professional		$102.33	$134.90	$257.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $371.54	Facility		$95.50	$181.97	$371.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $263.03	Professional		$95.50	$95.50	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $50,118.72	Facility		$154.88	$269.15	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $181.97	Professional		$141.25	$141.25	$181.97
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 / $208.93	Professional		$60.26	$85.11	$208.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $263.03	Facility		$97.72	$117.49	$263.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $331.13	Professional		$107.15	$134.90	$331.13