Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.26 / $216.02 / $387.20	Facility		$104.26	$216.02	$387.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $115.48 / $135.86	Professional		$51.57	$115.48	$135.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $135.86 / $353.24	Facility		$135.86	$135.86	$353.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $67.09 / $233.68	Professional		$24.78	$67.09	$233.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $135.86 / $135.86	Facility		$81.52	$135.86	$135.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $135.86 / $135.86	Professional		$99.18	$135.86	$135.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $274.87 / $352.22	Facility		$94.93	$274.87	$352.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $152.68 / $654.85	Professional		$101.07	$152.68	$654.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $176.62 / $332.00	Facility		$54.50	$176.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $81.52 / $248.62	Professional		$54.34	$81.52	$248.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $115.48 / $152.58	Professional		$61.49	$115.48	$152.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $368.03	Facility		$30.60	$30.60	$368.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $288.22 / $474.63	Facility		$94.93	$288.22	$474.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $142.86 / $279.87	Professional		$108.52	$142.86	$279.87
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $74.72 / $203.79	Professional		$48.65	$74.72	$203.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $156.24 / $182.44	Facility		$153.58	$156.24	$182.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $129.07 / $163.29	Professional		$61.49	$129.07	$163.29