Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $575.44	Facility		$151.36	$331.13	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $288.40	Professional		$144.54	$177.83	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $831.76	Facility		$416.87	$416.87	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $630.96	Professional		$199.53	$208.93	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Facility		$316.23	$338.84	$338.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $588.84 / $50,118.72	Facility		$218.78	$588.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $398.11	Professional		$162.18	$162.18	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,621.81	Facility		$416.87	$691.83	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $812.83	Professional		$257.04	$436.52	$812.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Facility		$213.80	$213.80	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $263.03	Professional		$213.80	$245.47	$263.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $398.11	Professional		$275.42	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $436.52	Facility		$131.83	$251.19	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $338.84	Professional		$134.90	$213.80	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $257.04	Facility		$213.80	$245.47	$257.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $263.03	Professional		$213.80	$245.47	$263.03