Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $264.02 / $546.91	Facility		$153.50	$264.02	$546.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $158.52 / $175.00	Professional		$130.47	$158.52	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $153.50 / $399.10	Facility		$153.50	$153.50	$399.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $61.40 / $205.54	Professional		$58.41	$61.40	$205.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $153.50 / $153.50	Facility		$92.10	$153.50	$153.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $153.50 / $153.50	Professional		$112.06	$153.50	$153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $310.92 / $398.41	Facility		$107.26	$310.92	$398.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $176.76 / $739.87	Professional		$89.80	$176.76	$739.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.90 / $199.55 / $345.38	Facility		$110.90	$199.55	$345.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $90.57 / $280.91	Professional		$56.18	$90.57	$280.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $43.30 / $43.30	Facility		$43.30	$43.30	$43.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $115.13 / $153.50	Professional		$43.30	$115.13	$153.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $154.47 / $690.39	Facility		$91.11	$154.47	$690.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $324.29 / $553.13	Facility		$107.26	$324.29	$553.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $146.68 / $316.20	Professional		$99.78	$146.68	$316.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $84.43 / $225.45	Professional		$64.47	$84.43	$225.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $162.71 / $162.71	Facility		$7.53	$162.71	$162.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $132.01 / $180.67	Professional		$55.30	$132.01	$180.67