Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $93.81 / $161.76	Professional		$61.71	$93.81	$161.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $131.88 / $200.56	Professional		$131.88	$131.88	$200.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $122.61 / $163.49	Facility		$16.35	$122.61	$163.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $122.61 / $163.49	Professional		$16.35	$122.61	$163.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $240.00	Professional		$98.52	$115.90	$240.00
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 $95.73 / $110.87 / $154.40	Professional		$95.73	$110.87	$154.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $139.90 / $155.22	Professional		$131.66	$139.90	$155.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $126.95 / $126.95	Professional		$126.95	$126.95	$126.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $115.90 / $192.00	Professional		$92.87	$115.90	$192.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $99.83 / $157.26	Professional		$56.15	$99.83	$157.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $131.66 / $131.66	Facility		$131.66	$131.66	$131.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $131.66 / $155.22	Professional		$131.66	$131.66	$155.22