Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.31 / $134.83 / $348.86	Facility		$96.31	$134.83	$348.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $134.83 / $367.51	Professional		$112.50	$134.83	$367.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $135.08 / $135.08	Professional		$123.83	$135.08	$135.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $112.35 / $112.35	Facility		$112.35	$112.35	$112.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $112.35 / $112.35	Professional		$112.35	$112.35	$112.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $133.49 / $494.42	Facility		$129.60	$133.49	$494.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.76 / $142.76 / $246.97	Facility		$142.76	$142.76	$246.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Professional		$142.76	$142.76	$142.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.05 / $139.05 / $139.05	Facility		$139.05	$139.05	$139.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $139.05 / $150.69	Professional		$139.05	$139.05	$150.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $166.25 / $313.81	Facility		$158.62	$166.25	$313.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $166.25 / $166.25	Professional		$166.25	$166.25	$166.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $133.49 / $597.00	Facility		$133.49	$133.49	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $148.32	Professional		$90.00	$90.00	$148.32
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $156.27 / $195.44	Professional		$132.43	$156.27	$195.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $139.05 / $139.05	Facility		$86.97	$139.05	$139.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $97.13 / $150.69	Professional		$86.97	$97.13	$150.69