Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $112.86 / $635.66	Facility		$67.73	$112.86	$635.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $100.14 / $178.34	Professional		$82.50	$100.14	$178.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $97.10 / $97.10	Professional		$91.67	$97.10	$97.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.31 / $87.31 / $87.31	Facility		$87.31	$87.31	$87.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $87.31 / $87.31	Professional		$87.31	$87.31	$87.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $98.03 / $357.44	Facility		$95.17	$98.03	$357.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $102.41 / $180.00	Facility		$102.41	$102.41	$180.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $102.41 / $102.41	Professional		$102.41	$102.41	$102.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $99.96 / $99.96	Facility		$99.96	$99.96	$99.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $99.96 / $108.10	Professional		$99.96	$99.96	$108.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $125.17	Facility		$96.72	$96.72	$125.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $121.59 / $123.38	Professional		$121.59	$121.59	$123.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $98.03 / $98.03 / $597.00	Facility		$98.03	$98.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $63.50 / $106.62	Professional		$63.50	$63.50	$106.62
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $109.16 / $142.26	Professional		$96.60	$109.16	$142.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $99.96 / $99.96	Facility		$45.51	$99.96	$99.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $54.67 / $108.10	Professional		$45.51	$54.67	$108.10