Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Professional		$73.68	$73.68	$73.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $71.51 / $135.41	Professional		$57.90	$71.51	$135.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $90.06 / $90.06	Facility		$90.06	$90.06	$90.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $90.06 / $90.06	Professional		$90.06	$90.06	$90.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $284.87 / $341.31	Professional		$269.52	$284.87	$341.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $133.68 / $247.82	Professional		$102.83	$133.68	$247.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $67.81 / $67.81	Facility		$67.81	$67.81	$67.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $67.81 / $131.74	Professional		$54.82	$67.81	$131.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Professional		$132.00	$132.00	$132.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.00 / $597.00	Facility		$555.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $176.98	Professional		$85.00	$85.00	$176.98
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $70.06 / $135.81	Professional		$53.03	$70.06	$135.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $67.81 / $67.81	Facility		$67.81	$67.81	$67.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $76.72 / $131.74	Professional		$58.47	$76.72	$131.74