Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.33 / $195.70 / $902.51	Facility		$108.33	$195.70	$902.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $164.60 / $248.80	Professional		$146.85	$164.60	$248.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $159.75 / $159.75	Professional		$149.52	$159.75	$159.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $132.77 / $132.77 / $132.77	Facility		$132.77	$132.77	$132.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $132.77 / $132.77	Professional		$132.77	$132.77	$132.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.16 / $157.76 / $175.41	Facility		$153.16	$157.76	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $168.34 / $291.23	Facility		$168.34	$168.34	$291.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $168.34 / $168.34	Professional		$168.34	$168.34	$168.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $164.45 / $164.45	Facility		$164.45	$164.45	$164.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $164.45 / $177.69	Professional		$164.45	$164.45	$177.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $186.50 / $293.25	Facility		$181.17	$186.50	$293.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $157.76 / $157.76 / $597.00	Facility		$157.76	$157.76	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $156.69 / $175.41	Professional		$156.69	$156.69	$175.41
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $187.09 / $280.19	Professional		$156.69	$187.09	$280.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $164.45 / $164.45	Facility		$164.45	$164.45	$164.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $164.45 / $177.69	Professional		$164.45	$164.45	$177.69