Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $203.98 / $365.63	Facility		$109.04	$203.98	$365.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $95.24 / $164.98	Professional		$67.98	$95.24	$164.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $128.29 / $333.55	Facility		$128.29	$128.29	$333.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $98.46 / $335.21	Professional		$63.35	$98.46	$335.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $128.29 / $128.29	Facility		$76.97	$128.29	$128.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $128.29 / $128.29	Professional		$93.65	$128.29	$128.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.04 / $271.02 / $342.76	Facility		$157.04	$271.02	$342.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $217.85 / $479.75	Professional		$96.46	$217.85	$479.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $184.68 / $352.80	Facility		$114.00	$184.68	$352.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $134.69 / $239.90	Professional		$89.80	$134.69	$239.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $128.29 / $232.63	Professional		$109.05	$128.29	$232.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $156.58 / $544.79	Facility		$92.93	$156.58	$544.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $84.64 / $85.49	Professional		$84.64	$84.64	$85.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.09 / $313.29 / $462.30	Facility		$125.09	$313.29	$462.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $203.80 / $414.30	Professional		$102.63	$203.80	$414.30
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $76.97 / $225.14	Professional		$53.88	$76.97	$225.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $147.53 / $223.35	Facility		$147.53	$147.53	$223.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $134.49 / $256.02	Professional		$109.05	$134.49	$256.02