Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.91 / $218.99 / $858.67	Facility		$107.91	$218.99	$858.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $116.12 / $302.47	Professional		$89.12	$116.12	$302.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $122.29 / $266.27	Professional		$98.47	$122.29	$266.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $51.39 / $110.67	Facility		$51.39	$51.39	$110.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $110.67 / $162.06	Professional		$51.39	$110.67	$162.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $294.00 / $917.26	Facility		$140.24	$294.00	$917.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $184.21 / $489.41	Professional		$106.83	$184.21	$489.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $137.53 / $332.00	Facility		$76.88	$137.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $162.57 / $256.37	Professional		$125.57	$162.57	$256.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $144.43 / $258.85	Professional		$80.66	$144.43	$258.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.92 / $142.06 / $174.82	Facility		$113.92	$142.06	$174.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $115.28 / $124.20	Professional		$114.65	$115.28	$124.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $288.74 / $597.00	Facility		$140.24	$288.74	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $185.95 / $422.16	Professional		$121.14	$185.95	$422.16
United Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $139.13 / $318.60	Professional		$97.78	$139.13	$318.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $142.04 / $299.54	Facility		$142.04	$142.04	$299.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $164.14 / $311.95	Professional		$80.66	$164.14	$311.95