Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $114.13 / $170.39	Professional		$73.28	$114.13	$170.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $139.44 / $207.92	Professional		$139.44	$139.44	$207.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $128.30 / $171.08	Facility		$17.11	$128.30	$171.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $128.30 / $171.08	Professional		$17.11	$128.30	$171.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $178.20	Professional		$97.30	$114.47	$178.20
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 $101.30 / $115.67 / $163.38	Professional		$101.30	$115.67	$163.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $159.68 / $173.58	Professional		$150.29	$159.68	$173.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $134.33 / $134.33	Professional		$134.33	$134.33	$134.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $178.20	Professional		$97.30	$114.47	$178.20
United Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $107.91 / $167.52	Professional		$59.15	$107.91	$167.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $175.32 / $175.32 / $175.32	Facility		$175.32	$175.32	$175.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $159.68 / $175.32	Professional		$150.29	$159.68	$175.32