Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $575.44 / $1,288.25	Facility		$4.27	$575.44	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $660.69	Professional		$575.44	$602.56	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,023.29	Professional		$575.44	$602.56	$1,023.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $660.69	Facility		$602.56	$602.56	$660.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $50,118.72	Facility		$616.60	$645.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $2,818.38	Professional		$616.60	$616.60	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Professional		$128.82	$151.36	$151.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
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 Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $912.01	Professional		$676.08	$676.08	$912.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $630.96 / $660.69	Facility		$125.89	$630.96	$660.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $630.96	Professional		$141.25	$630.96	$630.96