Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $255.45 / $607.90	Facility		$97.76	$255.45	$607.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $169.96 / $277.43	Professional		$123.00	$169.96	$277.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $170.09 / $170.09	Professional		$151.46	$170.09	$170.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.77 / $134.77 / $134.77	Facility		$134.77	$134.77	$134.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $134.77 / $134.77	Professional		$134.77	$134.77	$134.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $160.13 / $586.16	Facility		$155.47	$160.13	$586.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $179.96 / $332.00	Facility		$82.00	$179.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $179.96 / $179.96	Professional		$98.40	$179.96	$179.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.08 / $175.08 / $175.08	Facility		$175.08	$175.08	$175.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $175.08 / $189.95	Professional		$175.08	$175.08	$189.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $234.75 / $347.74	Facility		$154.44	$234.75	$347.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $219.95 / $219.95	Professional		$219.95	$219.95	$219.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $160.13 / $597.00	Facility		$160.13	$160.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $117.50 / $186.76	Professional		$117.50	$117.50	$186.76
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $199.95 / $252.39	Professional		$166.75	$199.95	$252.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.56 / $175.08 / $175.08	Facility		$98.56	$175.08	$175.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $115.14 / $189.95	Professional		$98.56	$115.14	$189.95