Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.27 / $229.93 / $412.14	Facility		$108.27	$229.93	$412.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $122.92 / $214.02	Professional		$92.54	$122.92	$214.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $375.99	Facility		$144.61	$144.61	$375.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $86.80 / $341.74	Professional		$70.62	$86.80	$341.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $144.61 / $144.61	Facility		$86.77	$144.61	$144.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $144.61 / $144.61	Professional		$105.57	$144.61	$144.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.91 / $352.46 / $1,339.46	Facility		$176.91	$352.46	$1,339.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $215.05 / $466.41	Professional		$95.84	$215.05	$466.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $187.99 / $346.00	Facility		$49.70	$187.99	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $151.84 / $266.92	Professional		$101.23	$151.84	$266.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $144.61 / $262.22	Professional		$122.92	$144.61	$262.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $255.85 / $492.99	Facility		$144.61	$255.85	$492.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $352.46 / $1,488.29	Facility		$141.00	$352.46	$1,488.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $211.85 / $466.08	Professional		$16.50	$211.85	$466.08
United Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $100.32 / $273.33	Professional		$67.90	$100.32	$273.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.07 / $159.07 / $459.10	Facility		$159.07	$159.07	$459.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $155.97 / $417.73	Professional		$131.49	$155.97	$417.73