Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $11,748.98	Facility		$173.78	$245.47	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $281.84	Professional		$173.78	$173.78	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $138.04	Facility		$131.83	$131.83	$138.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $251.19	Facility		$131.83	$162.18	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Professional		$173.78	$173.78	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $588.84	Facility		$165.96	$213.80	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $50,118.72 / $75,857.76	Facility		$218.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $186.21	Professional		$138.04	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $218.78	Professional		$162.18	$173.78	$218.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Facility		$173.78	$173.78	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78