Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $120.80 / $168.63	Professional		$79.00	$120.80	$168.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $130.27 / $220.89	Professional		$130.27	$130.27	$220.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $128.13 / $228.54	Facility		$17.57	$128.13	$228.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $128.13 / $228.54	Professional		$17.57	$128.13	$228.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $93.50 / $187.50	Professional		$15.00	$93.50	$187.50
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 $100.66 / $121.77 / $162.36	Professional		$100.66	$121.77	$162.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $168.53 / $179.07	Professional		$165.23	$168.53	$179.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $125.48 / $125.48	Professional		$125.48	$125.48	$125.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $110.00 / $234.38	Professional		$13.15	$110.00	$234.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $99.84 / $175.56	Professional		$59.58	$99.84	$175.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $168.53 / $168.53	Facility		$168.53	$168.53	$168.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $168.53 / $168.53 / $179.07	Professional		$168.53	$168.53	$179.07