Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $158.53 / $400.40	Facility		$86.43	$158.53	$400.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $133.47 / $257.00	Professional		$103.00	$133.47	$257.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.78 / $106.78 / $133.47	Facility		$106.78	$106.78	$133.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $120.12 / $178.71	Professional		$120.12	$120.12	$178.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Facility		$133.47	$133.47	$133.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Professional		$133.47	$133.47	$133.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.41 / $131.22 / $131.22	Facility		$127.41	$131.22	$131.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.45 / $207.77 / $332.00	Facility		$126.45	$207.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $126.45 / $172.51	Professional		$126.45	$126.45	$172.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $43.68 / $43.68	Facility		$43.68	$43.68	$43.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $52.42 / $122.94	Professional		$43.68	$52.42	$122.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.76 / $119.42 / $360.37	Facility		$63.76	$119.42	$360.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.22 / $597.00	Facility		$131.13	$131.22	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $131.13 / $178.44	Professional		$114.22	$131.13	$178.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $138.15 / $177.21	Professional		$117.08	$138.15	$177.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $122.94 / $122.94	Facility		$30.12	$122.94	$122.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $60.59 / $133.47	Professional		$30.12	$60.59	$133.47