Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $977.24	Facility		$104.71	$173.78	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $776.25	Professional		$104.71	$104.71	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Facility		$104.71	$104.71	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Facility		$199.53	$199.53	$208.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $323.59	Facility		$97.72	$97.72	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $245.47	Facility		$77.62	$93.33	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $97.72	Professional		$67.61	$77.62	$97.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $177.83	Facility		$147.91	$147.91	$177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $354.81 / $53,703.18	Facility		$120.23	$354.81	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $158.49	Professional		$97.72	$109.65	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $125.89	Facility		$109.65	$109.65	$125.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65