Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $140.13 / $234.73	Facility		$102.39	$140.13	$234.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $111.50 / $168.04	Professional		$96.41	$111.50	$168.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $121.99 / $209.48	Professional		$97.59	$121.99	$209.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $149.31 / $149.31 / $149.31	Facility		$149.31	$149.31	$149.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $149.31 / $149.31	Professional		$149.31	$149.31	$149.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $165.58 / $371.91	Professional		$82.95	$165.58	$371.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.33 / $134.99 / $338.32	Facility		$83.33	$134.99	$338.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $147.80 / $214.48	Professional		$120.61	$147.80	$214.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $122.88 / $252.60	Professional		$85.92	$122.88	$252.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.61 / $531.61 / $531.61	Facility		$531.61	$531.61	$531.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $115.15 / $115.79	Professional		$115.15	$115.15	$115.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $597.00	Facility		$119.60	$119.60	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $155.56 / $344.28	Professional		$96.27	$155.56	$344.28
United Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $126.41 / $303.83	Professional		$98.56	$126.41	$303.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.88 / $122.88 / $154.33	Facility		$122.88	$122.88	$154.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $129.90 / $268.61	Professional		$98.84	$129.90	$268.61