Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $190.66 / $342.22	Facility		$103.89	$190.66	$342.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $103.89 / $187.40	Professional		$82.24	$103.89	$187.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $317.77	Facility		$122.22	$122.22	$317.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $73.33 / $296.08	Professional		$60.36	$73.33	$296.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $122.22 / $122.22	Facility		$73.33	$122.22	$122.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $122.22 / $122.22	Professional		$89.22	$122.22	$122.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $258.18 / $326.00	Facility		$149.40	$258.18	$326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $190.58 / $411.92	Professional		$83.14	$190.58	$411.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.02 / $176.61 / $332.00	Facility		$109.02	$176.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $128.33 / $228.55	Professional		$85.55	$128.33	$228.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $122.22 / $221.62	Professional		$103.89	$122.22	$221.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Facility		$122.50	$122.50	$122.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $297.97 / $440.17	Facility		$119.16	$297.97	$440.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $173.47 / $394.03	Professional		$90.88	$173.47	$394.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $185.23	Professional		$51.33	$73.33	$185.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $129.55 / $197.55	Facility		$129.55	$129.55	$197.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $129.55 / $214.88	Professional		$103.89	$129.55	$214.88