Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $181.29 / $409.56	Facility		$72.34	$181.29	$409.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $76.58 / $101.79	Professional		$63.18	$76.58	$101.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $221.26	Facility		$85.10	$85.10	$221.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $57.55 / $228.89	Professional		$42.02	$57.55	$228.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $85.10 / $85.10	Facility		$51.06	$85.10	$85.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $85.10 / $85.10	Professional		$62.12	$85.10	$85.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.13 / $207.74 / $914.48	Facility		$104.13	$207.74	$914.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $136.88 / $324.42	Professional		$58.16	$136.88	$324.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $110.63 / $332.00	Facility		$26.10	$110.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $88.78 / $159.13	Professional		$59.57	$88.78	$159.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $85.10	Facility		$85.10	$85.10	$85.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $85.10 / $139.80	Professional		$80.84	$85.10	$139.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $216.94 / $379.10	Facility		$32.08	$216.94	$379.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $207.74 / $1,016.09	Facility		$82.98	$207.74	$1,016.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $135.31 / $274.70	Professional		$68.00	$135.31	$274.70
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $51.06 / $136.33	Professional		$35.74	$51.06	$136.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.86 / $97.86 / $313.43	Facility		$97.86	$97.86	$313.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $97.86 / $226.15	Professional		$80.84	$97.86	$226.15