Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.37 / $132.60 / $223.54	Facility		$109.37	$132.60	$223.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $125.71 / $170.67	Professional		$101.67	$125.71	$170.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.00 / $298.00	Facility		$50.00	$85.00	$298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $130.75 / $203.50	Professional		$99.10	$130.75	$203.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.47 / $181.47 / $181.47	Facility		$181.47	$181.47	$181.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $181.47 / $184.34	Professional		$181.47	$181.47	$184.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $149.44 / $396.13	Professional		$101.00	$149.44	$396.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $440.92	Facility		$108.60	$108.60	$440.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $176.96 / $250.94	Professional		$89.00	$176.96	$250.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $73.79 / $131.36	Facility		$73.79	$73.79	$131.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $123.74 / $231.29	Professional		$96.58	$123.74	$231.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $136.05 / $142.47	Professional		$136.05	$136.05	$142.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $555.00	Facility		$197.86	$197.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $155.86 / $377.23	Professional		$105.15	$155.86	$377.23
Optum Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $110.39 / $139.12	Professional		$99.81	$110.39	$139.12
United Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $152.22 / $409.50	Professional		$112.31	$152.22	$409.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $123.74 / $149.79	Facility		$73.79	$123.74	$149.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $156.02 / $316.62	Professional		$96.58	$156.02	$316.62