Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $213.34 / $347.44	Facility		$103.62	$213.34	$347.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $82.03 / $98.97	Professional		$79.78	$82.03	$98.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $316.97	Facility		$121.91	$121.91	$316.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $846.27 / $1,719.62	Professional		$144.55	$846.27	$1,719.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Facility		$121.91	$121.91	$121.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $121.91 / $121.91	Professional		$88.99	$121.91	$121.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $250.29 / $316.00	Facility		$146.29	$250.29	$316.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $177.81 / $587.61	Professional		$88.05	$177.81	$587.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $250.00 / $346.00	Facility		$121.91	$250.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $160.91 / $264.54	Professional		$128.01	$160.91	$264.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $121.91 / $221.06	Professional		$103.62	$121.91	$221.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.74 / $164.74 / $164.74	Facility		$164.74	$164.74	$164.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $297.12 / $426.10	Facility		$148.93	$297.12	$426.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $132.88 / $338.82	Professional		$97.84	$132.88	$338.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $188.96	Professional		$51.20	$73.15	$188.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $140.19 / $140.19	Facility		$121.91	$140.19	$140.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $121.91 / $146.53	Professional		$103.62	$121.91	$146.53