Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.06 / $328.54 / $903.12	Facility		$175.06	$328.54	$903.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.99 / $312.89 / $555.46	Professional		$270.99	$312.89	$555.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.32 / $250.32 / $312.89	Facility		$250.32	$250.32	$312.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.04 / $280.08 / $280.08	Professional		$259.04	$280.08	$280.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $264.74 / $264.74 / $277.98	Facility		$264.74	$264.74	$277.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $264.74 / $264.74 / $264.74	Professional		$264.74	$264.74	$264.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $335.95 / $664.18	Facility		$279.95	$335.95	$664.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $279.95 / $404.41	Professional		$279.95	$279.95	$404.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.33 / $288.33 / $288.33	Facility		$288.33	$288.33	$288.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $288.33 / $312.89	Professional		$288.33	$288.33	$312.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $289.41 / $560.00	Facility		$174.46	$289.41	$560.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $312.91 / $345.82	Professional		$305.48	$312.91	$345.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $555.00 / $74,999.25	Facility		$307.55	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.04 / $307.55 / $398.49	Professional		$298.04	$307.55	$398.49
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $334.54 / $491.00	Professional		$274.60	$334.54	$491.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.33 / $288.33 / $288.33	Facility		$288.33	$288.33	$288.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $288.33 / $312.89	Professional		$288.33	$288.33	$312.89