Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $141.25 / $199.53	Facility		$58.88	$141.25	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $141.25	Professional		$58.88	$81.28	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $354.81	Facility		$177.83	$177.83	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $281.84	Professional		$83.18	$83.18	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $144.54	Facility		$134.90	$144.54	$144.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $50,118.72	Facility		$87.10	$239.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $173.78	Professional		$63.10	$63.10	$173.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $676.08	Facility		$177.83	$295.12	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $338.84	Professional		$104.71	$186.21	$338.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $112.20	Professional		$100.00	$104.71	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $169.82	Professional		$114.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $186.21	Facility		$52.48	$89.13	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $144.54	Professional		$57.54	$87.10	$144.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $109.65	Facility		$100.00	$104.71	$109.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $112.20	Professional		$100.00	$104.71	$112.20