Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $127.55 / $430.85	Facility		$67.14	$127.55	$430.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $127.55 / $310.31	Professional		$97.50	$127.55	$310.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $122.46 / $122.46	Professional		$113.53	$122.46	$122.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.68 / $103.68 / $103.68	Facility		$103.68	$103.68	$103.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $103.68 / $103.68	Professional		$103.68	$103.68	$103.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $123.19 / $466.61	Facility		$119.60	$123.19	$466.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $128.99 / $223.15	Facility		$128.99	$128.99	$223.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $128.99 / $128.99	Professional		$128.99	$128.99	$128.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $126.07 / $126.07	Facility		$126.07	$126.07	$126.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $126.07 / $136.16	Professional		$126.07	$126.07	$136.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $121.82	Facility		$119.39	$119.39	$121.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.19 / $123.19 / $597.00	Facility		$123.19	$123.19	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $134.47	Professional		$90.00	$90.00	$134.47
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $174.54	Professional		$120.06	$134.99	$174.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $126.07 / $126.07	Facility		$20.00	$126.07	$126.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $84.45 / $136.16	Professional		$20.00	$84.45	$136.16