Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $265.04 / $512.22	Facility		$84.00	$265.04	$512.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $129.03 / $233.32	Professional		$70.22	$129.03	$233.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $169.90 / $441.74	Facility		$169.90	$169.90	$441.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $123.25 / $339.80	Professional		$67.95	$123.25	$339.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $169.90 / $169.90	Facility		$101.94	$169.90	$169.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $169.90 / $169.90	Professional		$124.03	$169.90	$169.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.82 / $358.93 / $453.61	Facility		$207.82	$358.93	$453.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $222.67 / $551.38	Professional		$101.89	$222.67	$551.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $220.87 / $382.28	Facility		$22.00	$220.87	$382.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $177.26 / $310.92	Professional		$118.93	$177.26	$310.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $161.41 / $308.08	Professional		$57.53	$161.41	$308.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $362.34 / $621.83	Facility		$22.76	$362.34	$621.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.66 / $414.60 / $592.99	Facility		$165.66	$414.60	$592.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $191.51 / $509.70	Professional		$50.00	$191.51	$509.70
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $101.94 / $266.72	Professional		$71.36	$101.94	$266.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $180.09 / $180.09	Facility		$86.15	$180.09	$180.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $169.90 / $199.97	Professional		$62.64	$169.90	$199.97