Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $149.83 / $381.30	Facility		$40.45	$149.83	$381.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $149.83 / $349.27	Professional		$137.29	$149.83	$349.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $149.96 / $149.96	Professional		$137.41	$149.96	$149.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.03 / $127.03 / $127.03	Facility		$127.03	$127.03	$127.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $127.03 / $127.03	Professional		$127.03	$127.03	$127.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $150.93 / $580.59	Facility		$146.54	$150.93	$580.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $158.63 / $274.45	Facility		$158.63	$158.63	$274.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $158.63 / $158.63	Professional		$158.63	$158.63	$158.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $154.37 / $154.37	Facility		$154.37	$154.37	$154.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $154.37 / $167.46	Professional		$154.37	$154.37	$167.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $188.44 / $193.90	Professional		$188.44	$188.44	$193.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.93 / $150.93 / $597.00	Facility		$150.93	$150.93	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $164.66	Professional		$103.00	$103.00	$164.66
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $166.13 / $222.53	Professional		$147.02	$166.13	$222.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $154.37 / $154.37	Facility		$154.37	$154.37	$154.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $154.37 / $167.46	Professional		$107.62	$154.37	$167.46