Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $295.12 / $416.87	Facility		$131.83	$295.12	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $354.81	Professional		$151.36	$213.80	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $741.31	Facility		$371.54	$371.54	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $630.96	Professional		$218.78	$218.78	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $302.00	Facility		$281.84	$302.00	$302.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $645.65 / $50,118.72	Facility		$295.12	$645.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $363.08	Professional		$213.80	$213.80	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,412.54	Facility		$371.54	$616.60	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $724.44	Professional		$229.09	$398.11	$724.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Facility		$208.93	$208.93	$218.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $234.42	Professional		$208.93	$218.78	$234.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $75,857.76	Facility		$446.68	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $354.81	Professional		$239.88	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $489.78	Facility		$151.36	$288.40	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $309.03	Professional		$120.23	$194.98	$309.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $229.09	Facility		$208.93	$218.78	$229.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $234.42	Professional		$208.93	$218.78	$234.42