Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $194.98 / $851.14	Facility		$87.10	$194.98	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $426.58	Professional		$91.20	$104.71	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $50,118.72	Facility		$85.11	$107.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $575.44	Professional		$107.15	$107.15	$575.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $537.03	Facility		$141.25	$208.93	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $141.25	Professional		$117.49	$141.25	$141.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $97.72	Facility		$85.11	$95.50	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $186.21 / $630.96	Facility		$102.33	$186.21	$630.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $144.54	Professional		$107.15	$107.15	$144.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $114.82	Facility		$85.11	$95.50	$114.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $114.82	Professional		$85.11	$85.11	$114.82