Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $141.25 / $275.42	Facility		$63.10	$141.25	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $295.12	Professional		$63.10	$100.00	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $218.78	Professional		$41.69	$64.57	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $117.49	Facility		$50.12	$117.49	$117.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $138.04	Professional		$60.26	$117.49	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $138.04	Facility		$95.50	$114.82	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $257.04	Professional		$45.71	$104.71	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $141.25	Professional		$70.79	$91.20	$141.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $190.55	Professional		$79.43	$117.49	$190.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $194.98	Professional		$85.11	$158.49	$194.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $109.65	Professional		$95.50	$95.50	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $144.54	Professional		$40.74	$60.26	$144.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $204.17	Professional		$79.43	$107.15	$204.17