Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $199.53	Facility		$85.11	$109.65	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $117.49	Professional		$83.18	$85.11	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Facility		$85.11	$85.11	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Facility		$69.18	$69.18	$72.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $120.23	Facility		$70.79	$79.43	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $93.33	Professional		$85.11	$85.11	$93.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $281.84	Facility		$79.43	$102.33	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $109.65	Professional		$87.10	$91.20	$109.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $50,118.72 / $75,857.76	Facility		$107.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $109.65	Professional		$79.43	$85.11	$109.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Facility		$81.28	$81.28	$97.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11