Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.16 / $227.69	Facility		$98.15	$98.16	$227.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $98.16 / $118.77	Professional		$36.34	$98.16	$118.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $78.53 / $98.16	Facility		$78.53	$78.53	$98.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $87.95 / $87.95	Professional		$44.00	$87.95	$87.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $42.48 / $180.18	Facility		$41.24	$42.48	$180.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $120.38 / $332.00	Facility		$92.60	$120.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $126.86	Professional		$93.00	$93.00	$126.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Facility		$90.54	$90.54	$90.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $98.16	Professional		$90.54	$90.54	$98.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Facility		$79.09	$79.09	$79.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $94.53 / $111.12	Professional		$94.53	$94.53	$111.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $597.00	Facility		$42.48	$42.48	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $83.49 / $96.58	Professional		$35.00	$83.49	$96.58
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $147.96	Professional		$98.16	$103.33	$147.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Facility		$90.54	$90.54	$90.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $98.16	Professional		$90.54	$90.54	$98.16