Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $100.30 / $205.37	Facility		$70.37	$100.30	$205.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $129.03	Professional		$70.37	$70.38	$129.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $56.30 / $70.38	Facility		$56.30	$56.30	$70.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $70.19 / $120.61	Professional		$66.00	$70.19	$120.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Facility		$70.38	$70.38	$70.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $71.84 / $80.88	Facility		$69.76	$71.84	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $121.49 / $332.00	Facility		$70.37	$121.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $77.86 / $90.95	Professional		$70.37	$77.86	$90.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $75.81 / $75.81	Professional		$70.38	$75.81	$75.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $79.68 / $143.02	Facility		$34.08	$79.68	$143.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $79.68	Professional		$70.38	$70.38	$79.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $71.84 / $597.00	Facility		$71.84	$71.84	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $80.88 / $102.05	Professional		$71.00	$80.88	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $85.23 / $109.33	Professional		$72.23	$85.23	$109.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $75.81 / $75.81	Facility		$52.87	$75.81	$75.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $55.13 / $75.81	Professional		$52.87	$55.13	$75.81