Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $223.99 / $354.01	Facility		$104.27	$223.99	$354.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $116.10 / $181.14	Professional		$95.57	$116.10	$181.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $334.70	Facility		$128.72	$128.72	$334.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $98.86 / $353.88	Professional		$63.57	$98.86	$353.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $128.72 / $128.72	Facility		$77.23	$128.72	$128.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $128.72 / $128.72	Professional		$93.97	$128.72	$128.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $271.93 / $343.69	Facility		$157.44	$271.93	$343.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $223.78 / $515.16	Professional		$95.65	$223.78	$515.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $167.35 / $346.00	Facility		$78.00	$167.35	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $134.30 / $240.73	Professional		$90.11	$134.30	$240.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $128.72 / $211.49	Professional		$122.29	$128.72	$211.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $224.00	Facility		$161.62	$161.62	$224.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.51 / $314.14 / $463.46	Facility		$125.51	$314.14	$463.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $199.53 / $415.42	Professional		$103.30	$199.53	$415.42
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $77.23 / $237.66	Professional		$54.07	$77.23	$237.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.04 / $148.04 / $318.63	Facility		$148.04	$148.04	$318.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $144.58 / $318.63	Professional		$109.42	$144.58	$318.63