Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.81 / $270.52 / $567.29	Facility		$132.81	$270.52	$567.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $121.73 / $225.16	Professional		$111.49	$121.73	$225.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $426.30	Facility		$163.96	$163.96	$426.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $80.97 / $380.50	Professional		$56.96	$80.97	$380.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $163.96 / $163.96	Facility		$98.38	$163.96	$163.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $163.96 / $163.96	Professional		$119.69	$163.96	$163.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.61 / $346.35 / $437.77	Facility		$200.61	$346.35	$437.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $265.36 / $656.52	Professional		$110.63	$265.36	$656.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $213.15 / $368.91	Facility		$20.00	$213.15	$368.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $171.06 / $300.05	Professional		$114.77	$171.06	$300.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $163.96	Facility		$163.96	$163.96	$163.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $163.96 / $211.51	Professional		$55.75	$163.96	$211.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $294.93 / $568.04	Facility		$109.82	$294.93	$568.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.86 / $400.14 / $572.87	Facility		$159.86	$400.14	$572.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $239.18 / $529.13	Professional		$48.00	$239.18	$529.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $254.14	Professional		$68.86	$98.38	$254.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $173.80 / $173.80	Facility		$80.79	$173.80	$173.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $163.96 / $435.71	Professional		$80.79	$163.96	$435.71