Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $206.04 / $349.64	Facility		$78.93	$206.04	$349.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $98.13 / $172.32	Professional		$68.05	$98.13	$172.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $124.87 / $324.66	Facility		$124.87	$124.87	$324.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $74.92 / $268.47	Professional		$49.95	$74.92	$268.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.92 / $124.87 / $124.87	Facility		$74.92	$124.87	$124.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $124.87 / $124.87	Professional		$91.16	$124.87	$124.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $263.80 / $435.57	Facility		$152.79	$263.80	$435.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $163.19 / $403.32	Professional		$75.70	$163.19	$403.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $162.33 / $332.00	Facility		$82.09	$162.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $131.11 / $228.51	Professional		$87.41	$131.11	$228.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $124.87 / $226.43	Professional		$106.14	$124.87	$226.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $138.94 / $239.88	Facility		$138.94	$138.94	$239.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $121.76 / $304.77 / $555.00	Facility		$121.76	$304.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $160.77 / $374.61	Professional		$75.81	$160.77	$374.61
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $189.25	Professional		$52.45	$74.92	$189.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $132.36 / $181.98	Facility		$132.36	$132.36	$181.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $126.19 / $201.01	Professional		$106.14	$126.19	$201.01