Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $135.47 / $196.41	Professional		$100.84	$135.47	$196.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $148.43 / $283.12	Professional		$148.43	$148.43	$283.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $161.91 / $213.20	Facility		$21.32	$161.91	$213.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $161.91 / $213.20	Professional		$21.32	$161.91	$213.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $123.59	Facility		$123.59	$123.59	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $162.21	Professional		$105.05	$123.59	$162.21
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 $105.70 / $143.21 / $170.49	Professional		$105.70	$143.21	$170.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.61 / $219.14 / $223.91	Professional		$206.61	$219.14	$223.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $140.16 / $140.16	Professional		$140.16	$140.16	$140.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $123.59	Facility		$123.59	$123.59	$123.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $123.59 / $162.21	Professional		$102.55	$123.59	$162.21
United Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $136.72 / $219.52	Professional		$67.54	$136.72	$219.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $210.74 / $210.74	Facility		$210.74	$210.74	$210.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $210.74 / $223.91	Professional		$210.74	$210.74	$223.91