Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $165.96	Facility		$52.48	$117.49	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $128.82	Professional		$53.70	$77.62	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $295.12	Facility		$147.91	$147.91	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $251.19	Professional		$91.20	$91.20	$251.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $120.23	Facility		$112.20	$120.23	$120.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $50,118.72	Facility		$128.82	$245.47	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $162.18	Professional		$109.65	$109.65	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $562.34	Facility		$147.91	$245.47	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $288.40	Professional		$91.20	$162.18	$288.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Facility		$67.61	$67.61	$70.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $93.33	Professional		$67.61	$87.10	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $141.25	Professional		$95.50	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $194.98	Facility		$60.26	$114.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $123.03	Professional		$47.86	$79.43	$123.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $87.10	Facility		$67.61	$83.18	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $93.33	Professional		$67.61	$87.10	$93.33