Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $120.56 / $179.08	Professional		$77.31	$120.56	$179.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $139.97 / $216.22	Professional		$139.97	$139.97	$216.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $128.27 / $233.22	Facility		$17.94	$128.27	$233.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $128.27 / $233.22	Professional		$17.94	$128.27	$233.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $131.69	Facility		$129.12	$129.12	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $205.20	Professional		$109.75	$129.12	$205.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $123.80 / $162.06	Professional		$100.48	$123.80	$162.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $175.29 / $184.62	Professional		$164.97	$175.29	$184.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Professional		$138.91	$138.91	$138.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $131.69	Facility		$129.12	$129.12	$131.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $205.20	Professional		$109.75	$129.12	$205.20
United Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $101.98 / $173.17	Professional		$65.02	$101.98	$173.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.97 / $164.97 / $164.97	Facility		$164.97	$164.97	$164.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $164.97 / $184.62	Professional		$164.97	$164.97	$184.62