Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $89.66 / $529.67	Facility		$77.34	$89.66	$529.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $93.03 / $111.64	Professional		$77.34	$93.03	$111.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $138.46 / $138.46	Facility		$138.46	$138.46	$138.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $138.46 / $138.46	Professional		$138.46	$138.46	$138.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $101.07 / $101.07	Facility		$95.27	$101.07	$101.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $162.00 / $332.00	Facility		$108.00	$162.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $95.27 / $95.27	Professional		$80.98	$95.27	$95.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $106.00 / $106.00	Facility		$95.27	$106.00	$106.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $106.00 / $106.00	Professional		$95.27	$106.00	$106.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.86 / $99.86 / $474.92	Facility		$99.86	$99.86	$474.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $101.07 / $597.00	Facility		$95.27	$101.07	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $140.13	Professional		$100.00	$100.00	$140.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $106.00	Professional		$95.27	$95.27	$106.00