Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $165.00 / $319.89	Facility		$77.90	$165.00	$319.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $75.44 / $125.06	Professional		$62.33	$75.44	$125.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $238.32	Facility		$91.66	$91.66	$238.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $212.73	Professional		$45.27	$45.27	$212.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $91.66 / $91.66	Facility		$55.00	$91.66	$91.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $91.66 / $91.66	Professional		$66.91	$91.66	$91.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $193.64 / $244.97	Facility		$112.23	$193.64	$244.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $148.41 / $366.81	Professional		$61.78	$148.41	$366.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $119.16 / $332.00	Facility		$30.00	$119.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $95.63 / $167.74	Professional		$64.16	$95.63	$167.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $87.08 / $166.21	Professional		$77.59	$87.08	$166.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $172.10 / $494.59	Facility		$73.77	$172.10	$494.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $223.90 / $329.55	Facility		$89.37	$223.90	$329.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $133.75 / $296.08	Professional		$70.00	$133.75	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $147.74	Professional		$38.50	$55.00	$147.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $97.16 / $122.41	Facility		$97.16	$97.16	$122.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $91.66 / $243.58	Professional		$77.91	$91.66	$243.58