Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $140.58 / $363.00	Facility		$42.27	$140.58	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $73.00 / $252.00	Professional		$49.10	$73.00	$252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $75.00 / $159.01	Professional		$64.11	$75.00	$159.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $90.08 / $133.00	Facility		$90.08	$90.08	$133.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $90.08 / $90.08	Professional		$90.08	$90.08	$90.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $125.00 / $350.00	Facility		$80.00	$125.00	$350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $86.23 / $125.53	Professional		$60.34	$86.23	$125.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $145.35 / $332.00	Facility		$35.00	$145.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $123.00	Professional		$45.00	$55.00	$123.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $118.05 / $119.09	Facility		$95.27	$118.05	$119.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $94.35 / $150.13	Professional		$71.00	$94.35	$150.13
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $89.45	Professional		$80.00	$80.00	$89.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.89 / $207.09 / $224.62	Facility		$204.89	$207.09	$224.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $87.17 / $156.25	Professional		$86.22	$87.17	$156.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $555.00 / $597.00	Facility		$113.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $97.88 / $205.38	Professional		$64.14	$97.88	$205.38
United Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $87.70 / $153.51	Professional		$68.14	$87.70	$153.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $111.00 / $119.47	Facility		$95.27	$111.00	$119.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $98.16 / $214.79	Professional		$82.80	$98.16	$214.79