Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.66 / $137.22 / $364.73	Facility		$76.66	$137.22	$364.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $76.22 / $166.73	Professional		$62.28	$76.22	$166.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $72.92 / $175.43	Professional		$55.78	$72.92	$175.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $100.37 / $100.37	Facility		$100.37	$100.37	$100.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $100.37 / $100.37	Professional		$100.37	$100.37	$100.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $597.58 / $663.98	Facility		$80.42	$597.58	$663.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $99.40 / $212.18	Professional		$63.51	$99.40	$212.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $110.22 / $332.00	Facility		$65.45	$110.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $81.00 / $146.96	Professional		$66.80	$81.00	$146.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.54 / $155.54 / $155.54	Facility		$155.54	$155.54	$155.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $90.44 / $155.54	Professional		$58.94	$90.44	$155.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $78.83 / $78.83	Professional		$78.83	$78.83	$78.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $254.50 / $663.98	Facility		$80.42	$254.50	$663.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $106.43 / $246.89	Professional		$75.00	$106.43	$246.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $77.30 / $175.44	Professional		$58.90	$77.30	$175.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $230.22	Facility		$75.79	$75.79	$230.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $92.77 / $205.09	Professional		$58.94	$92.77	$205.09