Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $380.19	Facility		$112.20	$269.15	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $245.47	Professional		$112.20	$144.54	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Facility		$338.84	$338.84	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $537.03	Professional		$154.88	$154.88	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $275.42	Facility		$257.04	$275.42	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $457.09 / $50,118.72	Facility		$186.21	$457.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $331.13	Professional		$134.90	$134.90	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,318.26	Facility		$338.84	$562.34	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $660.69	Professional		$208.93	$354.81	$660.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Facility		$239.88	$239.88	$257.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $239.88	Professional		$199.53	$213.80	$239.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $323.59	Professional		$223.87	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $194.98 / $338.84	Facility		$102.33	$194.98	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $281.84	Professional		$109.65	$165.96	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $257.04	Facility		$199.53	$208.93	$257.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $239.88	Professional		$199.53	$213.80	$239.88