Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $196.46 / $961.60	Facility		$70.59	$196.46	$961.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $86.98 / $545.60	Professional		$70.61	$86.98	$545.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $85.27	Professional		$85.27	$85.27	$85.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.46 / $97.46 / $97.46	Facility		$97.46	$97.46	$97.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $97.46 / $97.46	Professional		$97.46	$97.46	$97.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $105.46 / $105.46	Facility		$86.98	$105.46	$105.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $332.00 / $1,754.30	Facility		$99.41	$332.00	$1,754.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $99.41 / $99.41	Professional		$84.50	$99.41	$99.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $103.31 / $103.31	Facility		$99.41	$103.31	$103.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $103.31 / $103.31	Professional		$99.41	$103.31	$103.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $86.98 / $367.17	Facility		$3.00	$86.98	$367.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $105.46 / $597.00	Facility		$86.98	$105.46	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $86.98 / $86.98	Professional		$65.00	$86.98	$86.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $124.28	Professional		$85.27	$85.27	$124.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $99.41 / $103.16	Facility		$99.41	$99.41	$103.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $99.41 / $103.31	Professional		$99.41	$99.41	$103.31