Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $229.09 / $549.54	Facility		$95.50	$229.09	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $794.33	Professional		$194.98	$275.42	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $912.01	Facility		$457.09	$457.09	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $776.25	Professional		$281.84	$281.84	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Facility		$346.74	$371.54	$371.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $776.25 / $50,118.72	Facility		$295.12	$776.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $478.63	Professional		$213.80	$213.80	$478.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $1,778.28	Facility		$457.09	$758.58	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $891.25	Professional		$281.84	$501.19	$891.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Facility		$234.42	$234.42	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $288.40	Professional		$234.42	$269.15	$288.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $630.96	Facility		$467.74	$478.63	$630.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $50,118.72 / $75,857.76	Facility		$501.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $436.52	Professional		$302.00	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $588.84	Facility		$177.83	$288.40	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $389.05	Professional		$151.36	$234.42	$389.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $281.84	Facility		$234.42	$269.15	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $288.40	Professional		$234.42	$269.15	$288.40