Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $162.97	Facility		$156.16	$156.16	$162.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $196.09	Professional		$156.16	$162.97	$196.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $173.28 / $247.67	Professional		$160.21	$173.28	$247.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.52 / $141.52 / $141.52	Facility		$141.52	$141.52	$141.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $141.52 / $141.52	Professional		$141.52	$141.52	$141.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $203.81	Facility		$153.75	$153.75	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $253.69 / $346.00	Facility		$162.97	$253.69	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $196.52 / $226.00	Professional		$162.97	$196.52	$226.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $185.50 / $185.50	Facility		$185.50	$185.50	$185.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $185.50 / $185.50	Professional		$162.97	$185.50	$185.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $181.20 / $597.00	Facility		$153.75	$181.20	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $189.92 / $209.53	Professional		$45.00	$189.92	$209.53
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $191.70 / $246.69	Professional		$162.97	$191.70	$246.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $185.50 / $185.50	Facility		$147.97	$185.50	$185.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $147.97 / $185.50	Professional		$147.97	$147.97	$185.50