Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $104.67 / $616.09	Facility		$56.51	$104.67	$616.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $104.67 / $179.21	Professional		$93.75	$104.67	$179.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $100.80 / $100.80	Professional		$93.19	$100.80	$100.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $90.50 / $90.50	Facility		$90.50	$90.50	$90.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $90.50 / $90.50	Professional		$90.50	$90.50	$90.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $104.42 / $417.78	Facility		$101.38	$104.42	$417.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $110.83 / $191.74	Facility		$110.83	$110.83	$191.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Professional		$110.83	$110.83	$110.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $107.88 / $107.88	Facility		$107.88	$107.88	$107.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $107.88 / $116.98	Professional		$107.88	$107.88	$116.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $128.91 / $179.25	Facility		$125.24	$128.91	$179.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $104.42 / $597.00	Facility		$104.42	$104.42	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $115.07	Professional		$74.09	$74.09	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $121.23 / $155.51	Professional		$102.74	$121.23	$155.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $107.88 / $107.88	Facility		$70.29	$107.88	$107.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $75.95 / $116.98	Professional		$70.29	$75.95	$116.98