Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $812.83 / $1,288.25	Facility		$316.23	$812.83	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $794.33	Professional		$295.12	$389.05	$794.33
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 / $1,096.48	Professional		$204.17	$204.17	$1,096.48
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 / $660.69 / $1,995.26	Professional		$302.00	$660.69	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,348.96	Facility		$338.84	$537.03	$1,348.96
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 / $758.58	Professional		$354.81	$416.87	$758.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,148.15	Facility		$288.40	$288.40	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $50,118.72	Facility		$501.19	$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 $218.78 / $478.63 / $1,000.00	Facility		$218.78	$478.63	$1,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $1,096.48	Professional		$354.81	$426.58	$1,096.48