Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $189.74 / $366.69	Facility		$103.39	$189.74	$366.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $94.87 / $180.01	Professional		$79.06	$94.87	$180.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $121.63 / $316.24	Facility		$121.63	$121.63	$316.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $90.23 / $318.12	Professional		$60.06	$90.23	$318.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $121.63 / $121.63	Facility		$72.98	$121.63	$121.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $121.63 / $121.63	Professional		$88.79	$121.63	$121.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $256.95 / $424.92	Facility		$148.93	$256.95	$424.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $206.69 / $455.18	Professional		$90.45	$206.69	$455.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $176.45 / $332.00	Facility		$108.92	$176.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $127.71 / $227.45	Professional		$85.14	$127.71	$227.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $121.63 / $220.55	Professional		$103.39	$121.63	$220.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $218.79 / $305.04	Facility		$97.89	$218.79	$305.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $297.12 / $555.00	Facility		$118.59	$297.12	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $188.53 / $392.91	Professional		$97.30	$188.53	$392.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $72.98 / $190.94	Professional		$51.08	$72.98	$190.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $241.48	Facility		$128.93	$128.93	$241.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $128.93 / $266.70	Professional		$103.39	$128.93	$266.70