Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $23,988.33	Facility		$245.47	$331.13	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Facility		$245.47	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Facility		$213.80	$213.80	$223.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Facility		$234.42	$234.42	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Professional		$245.47	$245.47	$269.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $851.14	Facility		$234.42	$302.00	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Professional		$245.47	$245.47	$309.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $50,118.72 / $75,857.76	Facility		$309.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $295.12	Professional		$234.42	$245.47	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Facility		$245.47	$245.47	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47