Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.19 / $131.38 / $208.62	Facility		$86.19	$131.38	$208.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $104.58 / $224.35	Professional		$87.59	$104.58	$224.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $109.59 / $233.73	Professional		$88.25	$109.59	$233.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $166.69 / $166.69 / $166.69	Facility		$166.69	$166.69	$166.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $166.69	Professional		$166.69	$166.69	$166.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $171.99 / $342.57	Professional		$96.74	$171.99	$342.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $92.40 / $332.00	Facility		$77.00	$92.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $159.19 / $243.84	Professional		$118.89	$159.19	$243.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $108.13 / $108.13	Facility		$108.13	$108.13	$108.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $134.94 / $247.64	Professional		$98.28	$134.94	$247.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $238.77 / $238.77	Professional		$238.77	$238.77	$238.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $555.00	Facility		$132.90	$132.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $165.63 / $310.73	Professional		$99.63	$165.63	$310.73
United Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $132.54 / $274.06	Professional		$88.32	$132.54	$274.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $108.13 / $108.13	Facility		$108.13	$108.13	$108.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $156.40 / $284.27	Professional		$98.28	$156.40	$284.27