Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $219.32 / $1,372.49	Facility		$87.06	$219.32	$1,372.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $195.83 / $317.66	Professional		$142.50	$195.83	$317.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $186.66 / $186.66	Professional		$163.19	$186.66	$186.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $150.97 / $150.97	Facility		$150.97	$150.97	$150.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $150.97 / $150.97	Professional		$150.97	$150.97	$150.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $169.29 / $614.97	Facility		$164.36	$169.29	$614.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $207.35 / $207.35 / $358.72	Facility		$207.35	$207.35	$358.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $207.35 / $207.35	Professional		$207.35	$207.35	$207.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.72 / $201.72 / $201.72	Facility		$201.72	$201.72	$201.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $201.72 / $218.87	Professional		$201.72	$201.72	$218.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $166.47 / $381.00	Facility		$131.94	$166.47	$381.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.42 / $247.42 / $247.42	Professional		$247.42	$247.42	$247.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $169.29 / $614.97	Facility		$169.29	$169.29	$614.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $108.25 / $215.17	Professional		$108.25	$108.25	$215.17
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $230.39 / $283.87	Professional		$192.12	$230.39	$283.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $201.72 / $201.72	Facility		$78.29	$201.72	$201.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $91.46 / $218.87	Professional		$78.29	$91.46	$218.87