Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $354.81 / $562.34	Facility		$158.49	$354.81	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $426.58	Professional		$131.83	$177.83	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $489.78	Facility		$190.55	$190.55	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $478.63	Professional		$102.33	$102.33	$478.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $190.55	Facility		$112.20	$190.55	$190.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $190.55	Professional		$138.04	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $467.74 / $1,949.84	Facility		$144.54	$467.74	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $1,000.00	Professional		$131.83	$275.42	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $616.60	Facility		$154.88	$245.47	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $354.81	Professional		$131.83	$158.49	$354.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $338.84	Professional		$95.50	$186.21	$338.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $50,118.72	Facility		$190.55	$338.84	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $190.55 / $223.87	Facility		$169.82	$190.55	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $295.12	Professional		$83.18	$112.20	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $478.63	Facility		$91.20	$134.90	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $575.44	Professional		$109.65	$190.55	$575.44