Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $234.42	Facility		$81.28	$104.71	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $154.88	Professional		$81.28	$81.28	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Facility		$57.54	$57.54	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $169.82	Facility		$77.62	$77.62	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $741.31	Facility		$204.17	$269.15	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $288.40	Professional		$229.09	$234.42	$288.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Facility		$67.61	$67.61	$70.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $70.79	Professional		$67.61	$70.79	$70.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $50,118.72 / $75,857.76	Facility		$91.20	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $107.15	Professional		$64.57	$81.28	$107.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Facility		$67.61	$67.61	$81.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $70.79	Professional		$67.61	$70.79	$70.79