Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $207.06 / $434.19	Facility		$92.54	$207.06	$434.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $129.59 / $174.14	Professional		$92.54	$129.59	$174.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $326.27	Facility		$125.49	$125.49	$326.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $85.35 / $335.26	Professional		$63.99	$85.35	$335.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $125.49 / $125.49	Facility		$75.29	$125.49	$125.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $125.49 / $125.49	Professional		$91.61	$125.49	$125.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $306.49 / $1,339.46	Facility		$153.63	$306.49	$1,339.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $201.64 / $405.58	Professional		$95.84	$201.64	$405.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $175.69 / $346.00	Facility		$99.90	$175.69	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $130.91 / $234.67	Professional		$87.84	$130.91	$234.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $125.49 / $219.25	Professional		$101.00	$125.49	$219.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $305.56 / $605.77	Facility		$98.82	$305.56	$605.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $306.49 / $1,488.29	Facility		$122.36	$306.49	$1,488.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $225.50 / $408.38	Professional		$100.02	$225.50	$408.38
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $89.45 / $240.30	Professional		$58.47	$89.45	$240.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $459.10	Facility		$138.04	$138.04	$459.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $132.78 / $333.48	Professional		$119.22	$132.78	$333.48