Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $152.32 / $334.37	Facility		$74.70	$152.32	$334.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $101.79 / $253.20	Professional		$63.18	$101.79	$253.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $95.80 / $249.08	Facility		$95.80	$95.80	$249.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $73.56 / $236.26	Professional		$42.02	$73.56	$236.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.48 / $95.80 / $95.80	Facility		$57.48	$95.80	$95.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $95.80 / $95.80	Professional		$69.93	$95.80	$95.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $194.31 / $256.14	Facility		$117.24	$194.31	$256.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $143.52 / $309.82	Professional		$70.39	$143.52	$309.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $124.54 / $332.00	Facility		$51.00	$124.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $99.95 / $179.15	Professional		$67.06	$99.95	$179.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $53.98 / $53.98	Facility		$53.98	$53.98	$53.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $91.01 / $139.80	Professional		$53.98	$91.01	$139.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $290.30 / $399.04	Facility		$82.70	$290.30	$399.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $234.11 / $344.68	Facility		$93.41	$234.11	$344.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $135.31 / $309.60	Professional		$70.28	$135.31	$309.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $57.48 / $145.19	Professional		$40.24	$57.48	$145.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $110.17 / $210.65	Facility		$110.17	$110.17	$210.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $95.80 / $210.65	Professional		$68.95	$95.80	$210.65