Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.78 / $255.56 / $420.92	Facility		$127.78	$255.56	$420.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.26 / $217.98	Professional		$100.00	$117.26	$217.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $390.86	Facility		$150.33	$150.33	$390.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $216.78	Professional		$60.13	$60.13	$216.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $150.33 / $150.33	Facility		$90.20	$150.33	$150.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Professional		$150.33	$150.33	$150.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $317.56 / $525.52	Facility		$183.93	$317.56	$525.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $233.59 / $488.30	Professional		$91.35	$233.59	$488.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $270.00 / $432.00	Facility		$180.00	$270.00	$432.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $157.85 / $275.10	Professional		$105.23	$157.85	$275.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $142.81 / $268.12	Professional		$120.26	$142.81	$268.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $120.99 / $120.99	Facility		$120.99	$120.99	$120.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $146.57 / $366.94 / $555.00	Facility		$146.57	$366.94	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $187.91 / $450.99	Professional		$95.33	$187.91	$450.99
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $233.01	Professional		$63.14	$90.20	$233.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.35 / $159.35 / $159.35	Facility		$159.35	$159.35	$159.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $150.33 / $399.49	Professional		$127.78	$150.33	$399.49