Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.02 / $191.61 / $312.05	Facility		$104.02	$191.61	$312.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $72.44 / $128.85	Professional		$54.75	$72.44	$128.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $109.49 / $284.67	Facility		$109.49	$109.49	$284.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $43.80 / $186.58	Professional		$13.05	$43.80	$186.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $109.49 / $109.49	Facility		$65.69	$109.49	$109.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $109.49 / $109.49	Professional		$79.93	$109.49	$109.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $221.88 / $284.32	Facility		$76.51	$221.88	$284.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $110.68 / $527.74	Professional		$61.75	$110.68	$527.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $142.34 / $332.00	Facility		$64.40	$142.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $65.69 / $200.37	Professional		$43.80	$65.69	$200.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $103.21 / $122.97	Professional		$65.58	$103.21	$122.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.67 / $363.67 / $363.67	Facility		$363.67	$363.67	$363.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $232.16 / $382.31	Facility		$76.51	$232.16	$382.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $110.68 / $176.37	Professional		$64.05	$110.68	$176.37
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $63.00 / $160.81	Professional		$45.99	$63.00	$160.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.91 / $125.91 / $270.17	Facility		$125.91	$125.91	$270.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $104.02 / $131.60	Professional		$65.58	$104.02	$131.60