Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $225.29 / $413.03	Facility		$116.45	$225.29	$413.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $116.45 / $333.94	Professional		$45.00	$116.45	$333.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $356.20	Facility		$137.00	$137.00	$356.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $54.80 / $194.86	Professional		$28.72	$54.80	$194.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $137.00 / $137.00	Facility		$82.20	$137.00	$137.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $289.41 / $385.41	Facility		$167.71	$289.41	$385.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $212.99 / $445.08	Professional		$83.24	$212.99	$445.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $332.00 / $610.00	Facility		$164.40	$332.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $143.85 / $250.71	Professional		$95.90	$143.85	$250.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $130.15 / $248.42	Professional		$109.60	$130.15	$248.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.25 / $349.25 / $349.25	Facility		$349.25	$349.25	$349.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.58 / $334.58 / $493.74	Facility		$133.58	$334.58	$493.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $200.00 / $411.00	Professional		$86.87	$200.00	$411.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $207.63	Professional		$57.54	$82.20	$207.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $145.22 / $145.22	Facility		$41.14	$145.22	$145.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $137.00 / $161.25	Professional		$116.45	$137.00	$161.25