Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.58 / $228.11 / $423.64	Facility		$105.58	$228.11	$423.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $117.30 / $177.38	Professional		$96.77	$117.30	$177.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $338.91	Facility		$130.35	$130.35	$338.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $89.25 / $352.96	Professional		$64.37	$89.25	$352.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $130.35 / $130.35	Facility		$78.20	$130.35	$130.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $130.35 / $130.35	Professional		$95.16	$130.35	$130.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $318.39 / $1,400.77	Facility		$159.60	$318.39	$1,400.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $224.55 / $496.47	Professional		$96.95	$224.55	$496.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $169.46 / $346.00	Facility		$32.00	$169.46	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $135.99 / $243.75	Professional		$91.25	$135.99	$243.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $80.80 / $80.80	Facility		$80.80	$80.80	$80.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $123.83 / $214.16	Professional		$80.80	$123.83	$214.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $224.00	Facility		$163.66	$163.66	$224.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $318.39 / $1,556.41	Facility		$127.10	$318.39	$1,556.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $209.53 / $421.35	Professional		$104.60	$209.53	$421.35
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $208.82	Professional		$54.75	$78.20	$208.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $149.90 / $149.90 / $428.17	Facility		$149.90	$149.90	$428.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $136.53 / $346.39	Professional		$103.20	$136.53	$346.39