Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $114.82 / $426.58	Facility		$47.86	$114.82	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $128.82	Professional		$54.95	$72.44	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $288.40	Facility		$144.54	$144.54	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $245.47	Professional		$81.28	$81.28	$245.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $120.23	Facility		$109.65	$120.23	$120.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $50,118.72	Facility		$81.28	$234.42	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $144.54	Professional		$60.26	$60.26	$144.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $562.34	Facility		$144.54	$239.88	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $281.84	Professional		$91.20	$151.36	$281.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Facility		$45.71	$45.71	$47.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $91.20	Professional		$45.71	$85.11	$91.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $138.04	Professional		$95.50	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $177.83	Facility		$53.70	$104.71	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $123.03	Professional		$47.86	$72.44	$123.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $81.28 / $85.11	Facility		$45.71	$81.28	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $91.20	Professional		$45.71	$85.11	$91.20