Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $133.96 / $187.46	Professional		$90.99	$133.96	$187.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $159.02 / $232.91	Professional		$159.02	$159.02	$232.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $139.99 / $186.64	Facility		$18.66	$139.99	$186.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $139.99 / $186.64	Professional		$18.66	$139.99	$186.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $205.20	Professional		$111.08	$130.68	$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 $114.06 / $121.42 / $183.97	Professional		$114.06	$121.42	$183.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $154.38 / $181.63	Professional		$145.30	$154.38	$181.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $151.25 / $151.25	Professional		$151.25	$151.25	$151.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $130.68 / $205.20	Professional		$110.66	$130.68	$205.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $111.55 / $165.29	Professional		$64.42	$111.55	$165.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.30 / $145.30 / $145.30	Facility		$145.30	$145.30	$145.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $145.30 / $181.63	Professional		$145.30	$145.30	$181.63