Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $88.89 / $136.93	Professional		$54.34	$88.89	$136.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $183.09	Professional		$115.62	$115.62	$183.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $100.33 / $133.77	Facility		$13.38	$100.33	$133.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $100.33 / $133.77	Professional		$13.38	$100.33	$133.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $145.80	Professional		$80.45	$94.65	$145.80
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 $84.31 / $89.75 / $135.97	Professional		$84.31	$89.75	$135.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $119.58 / $125.96	Professional		$112.55	$119.58	$125.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $111.81 / $111.81	Professional		$111.81	$111.81	$111.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $145.80	Professional		$80.45	$94.65	$145.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $87.25 / $132.21	Professional		$61.50	$87.25	$132.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $112.55 / $112.55	Facility		$112.55	$112.55	$112.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $112.55 / $125.96	Professional		$112.55	$112.55	$125.96