Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.69 / $149.76 / $238.93	Facility		$101.69	$149.76	$238.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $134.66 / $373.43	Professional		$101.69	$134.66	$373.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $117.62 / $292.70	Professional		$90.05	$117.62	$292.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.67 / $190.67 / $190.67	Facility		$190.67	$190.67	$190.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $190.67 / $190.67	Professional		$190.67	$190.67	$190.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $200.24 / $455.84	Professional		$112.76	$200.24	$455.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $332.00	Facility		$100.00	$120.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $189.32 / $347.74	Professional		$135.85	$189.32	$347.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $123.60 / $123.60	Facility		$123.60	$123.60	$123.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $154.27 / $283.61	Professional		$118.05	$154.27	$283.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $250.84 / $320.83	Professional		$171.02	$250.84	$320.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $555.00	Facility		$152.16	$152.16	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $197.56 / $501.38	Professional		$132.75	$197.56	$501.38
United Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $179.54 / $314.87	Professional		$122.66	$179.54	$314.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $123.60 / $123.60	Facility		$123.60	$123.60	$123.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $196.66 / $325.57	Professional		$128.08	$196.66	$325.57