Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $190.66 / $545.10	Facility		$95.00	$190.66	$545.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $110.24 / $208.38	Professional		$90.74	$110.24	$208.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $317.77	Facility		$122.22	$122.22	$317.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $73.33 / $283.64	Professional		$60.36	$73.33	$283.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $122.22 / $122.22	Facility		$73.33	$122.22	$122.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $122.22 / $122.22	Professional		$89.22	$122.22	$122.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $258.18 / $326.00	Facility		$149.40	$258.18	$326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $197.71 / $489.47	Professional		$82.37	$197.71	$489.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $158.88 / $336.11	Facility		$69.00	$158.88	$336.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $127.51 / $223.66	Professional		$85.55	$127.51	$223.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $122.22 / $221.62	Professional		$103.89	$122.22	$221.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.49 / $376.32 / $859.83	Facility		$229.49	$376.32	$859.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $297.97 / $440.17	Facility		$119.16	$297.97	$440.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $189.44 / $394.03	Professional		$97.78	$189.44	$394.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $195.80	Professional		$51.33	$73.33	$195.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $129.55 / $268.13	Facility		$129.55	$129.55	$268.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $129.55 / $282.47	Professional		$116.11	$129.55	$282.47