Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $102.33 / $144.54	Facility		$45.71	$102.33	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $112.20	Professional		$52.48	$70.79	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $257.04	Facility		$128.82	$128.82	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $223.87	Professional		$83.18	$83.18	$223.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $50,118.72	Facility		$89.13	$218.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $125.89	Professional		$64.57	$64.57	$125.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $489.78	Facility		$128.82	$213.80	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $251.19	Professional		$79.43	$141.25	$251.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $81.28	Professional		$66.07	$75.86	$81.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $50,118.72 / $75,857.76	Facility		$141.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $123.03	Professional		$85.11	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $165.96	Facility		$50.12	$95.50	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $107.15	Professional		$41.69	$67.61	$107.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $79.43	Facility		$66.07	$75.86	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $81.28	Professional		$66.07	$75.86	$81.28