Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $146.60 / $363.00	Facility		$60.24	$146.60	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $71.27 / $229.60	Professional		$50.40	$71.27	$229.60
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 $62.07 / $75.00 / $163.12	Professional		$62.07	$75.00	$163.12
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 / $331.00	Facility		$80.00	$125.00	$331.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $94.37 / $135.86	Professional		$63.48	$94.37	$135.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $149.38 / $332.00	Facility		$35.00	$149.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $51.70 / $126.33	Professional		$45.00	$51.70	$126.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $121.10 / $122.16	Facility		$97.73	$121.10	$122.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $92.50 / $178.35	Professional		$68.00	$92.50	$178.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.84 / $147.84 / $191.20	Facility		$147.84	$147.84	$191.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $86.22 / $87.17	Professional		$86.22	$86.22	$87.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $555.00 / $597.00	Facility		$115.69	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $107.43 / $218.67	Professional		$70.92	$107.43	$218.67
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $88.00 / $172.53	Professional		$67.70	$88.00	$172.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $112.08 / $121.78	Facility		$97.73	$112.08	$121.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $99.12 / $216.88	Professional		$71.06	$99.12	$216.88