Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $181.97 / $263.03	Facility		$83.18	$181.97	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $169.82	Professional		$83.18	$114.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $467.74	Facility		$234.42	$234.42	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $354.81	Professional		$120.23	$123.03	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $190.55 / $190.55	Facility		$177.83	$190.55	$190.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $354.81 / $50,118.72	Facility		$123.03	$354.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $229.09	Professional		$89.13	$89.13	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $891.25	Facility		$234.42	$380.19	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $446.68	Professional		$144.54	$245.47	$446.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $144.54	Professional		$100.00	$138.04	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $223.87	Professional		$151.36	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $269.15	Facility		$81.28	$154.88	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $190.55	Professional		$75.86	$123.03	$190.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $138.04	Facility		$100.00	$131.83	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $144.54	Professional		$100.00	$138.04	$144.54