Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $236.11 / $712.35	Facility		$123.16	$236.11	$712.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $127.73 / $248.96	Professional		$91.04	$127.73	$248.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $104.89 / $246.81	Professional		$80.23	$104.89	$246.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Professional		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $798.03 / $886.71	Facility		$122.02	$798.03	$886.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $140.76 / $323.12	Professional		$95.33	$140.76	$323.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $169.21 / $346.00	Facility		$102.48	$169.21	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $126.14 / $225.61	Professional		$100.65	$126.14	$225.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $76.56 / $76.56	Facility		$76.56	$76.56	$76.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $102.55 / $201.72	Professional		$76.56	$102.55	$201.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.20 / $430.20 / $430.20	Facility		$430.20	$430.20	$430.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $189.85 / $258.33	Professional		$105.36	$189.85	$258.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $555.00 / $886.71	Facility		$122.02	$555.00	$886.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $150.37 / $338.43	Professional		$108.10	$150.37	$338.43
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $116.15 / $252.17	Professional		$84.44	$116.15	$252.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $115.12 / $301.37	Facility		$115.12	$115.12	$301.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $140.88 / $300.24	Professional		$80.64	$140.88	$300.24