Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $238.99 / $573.22	Facility		$107.53	$238.99	$573.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $112.27 / $197.59	Professional		$98.49	$112.27	$197.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $376.58	Facility		$144.84	$144.84	$376.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $71.52 / $336.13	Professional		$56.96	$71.52	$336.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $144.84 / $144.84	Facility		$86.90	$144.84	$144.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $144.84 / $144.84	Professional		$105.73	$144.84	$144.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.33 / $305.99 / $386.54	Facility		$177.33	$305.99	$386.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $234.42 / $580.59	Professional		$97.70	$234.42	$580.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $188.29 / $346.00	Facility		$20.00	$188.29	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $151.11 / $265.06	Professional		$101.39	$151.11	$265.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $144.84 / $186.84	Professional		$55.75	$144.84	$186.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $124.94 / $286.72	Facility		$30.60	$124.94	$286.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $353.31 / $521.67	Facility		$141.22	$353.31	$521.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $211.38 / $467.21	Professional		$48.00	$211.38	$467.21
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $86.90 / $243.53	Professional		$60.83	$86.90	$243.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.66 / $153.53 / $153.53	Facility		$76.66	$153.53	$153.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $144.84 / $186.84	Professional		$55.75	$144.84	$186.84