Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $285.26 / $583.04	Facility		$142.63	$285.26	$583.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $353.10	Professional		$92.71	$142.63	$353.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $69.31 / $322.33	Professional		$57.05	$69.31	$322.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $142.63 / $142.63	Facility		$85.58	$142.63	$142.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $302.63 / $350.30	Facility		$256.77	$302.63	$350.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $189.34 / $490.85	Professional		$91.04	$189.34	$490.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $213.95 / $332.00	Facility		$142.63	$213.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $148.81 / $261.01	Professional		$99.84	$148.81	$261.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.59 / $85.59 / $85.59	Facility		$85.59	$85.59	$85.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $135.50 / $183.99	Professional		$85.59	$135.50	$183.99
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $152.61 / $152.61	Professional		$152.61	$152.61	$152.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $278.24 / $416.14	Facility		$142.63	$278.24	$416.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $301.31 / $555.00	Facility		$19.91	$301.31	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $183.99 / $428.63	Professional		$95.51	$183.99	$428.63
United Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $115.27 / $285.26	Professional		$85.58	$115.27	$285.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.02 / $164.02 / $190.77	Facility		$164.02	$164.02	$190.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $156.88 / $190.77	Professional		$121.24	$156.88	$190.77