Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $457.09	Facility		$134.90	$323.59	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $363.08	Professional		$165.96	$213.80	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $812.83	Facility		$407.38	$407.38	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $691.83	Professional		$251.19	$251.19	$691.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $331.13	Facility		$309.03	$331.13	$331.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $724.44 / $50,118.72	Facility		$251.19	$724.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $446.68	Professional		$186.21	$186.21	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,584.89	Facility		$407.38	$676.08	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $794.33	Professional		$251.19	$426.58	$794.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $257.04	Professional		$186.21	$239.88	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $50,118.72 / $75,857.76	Facility		$398.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $389.05	Professional		$269.15	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $426.58 / $549.54	Facility		$165.96	$426.58	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $346.74	Professional		$131.83	$208.93	$346.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $239.88	Facility		$186.21	$229.09	$239.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $257.04	Professional		$186.21	$239.88	$257.04