Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $173.52 / $311.02	Facility		$92.76	$173.52	$311.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $92.76 / $169.72	Professional		$69.41	$92.76	$169.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $109.13 / $283.74	Facility		$109.13	$109.13	$283.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $64.76 / $253.26	Professional		$53.89	$64.76	$253.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $109.13 / $109.13	Facility		$65.48	$109.13	$109.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $109.13 / $109.13	Professional		$79.66	$109.13	$109.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $230.52 / $291.54	Facility		$133.57	$230.52	$291.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $176.21 / $436.90	Professional		$73.61	$176.21	$436.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $141.87 / $332.00	Facility		$62.00	$141.87	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $113.86 / $199.71	Professional		$76.39	$113.86	$199.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $109.13 / $197.88	Professional		$92.76	$109.13	$197.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $159.46 / $485.40	Facility		$122.92	$159.46	$485.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $266.47 / $392.43	Facility		$106.40	$266.47	$392.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $169.15 / $352.38	Professional		$87.30	$169.15	$352.38
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $65.48 / $174.83	Professional		$45.83	$65.48	$174.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $115.68 / $252.21	Facility		$115.68	$115.68	$252.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $115.68 / $290.00	Professional		$92.76	$115.68	$290.00