Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $93.95 / $149.25	Professional		$69.55	$93.95	$149.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $122.33 / $187.50	Professional		$122.33	$122.33	$187.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $108.33 / $144.44	Facility		$14.44	$108.33	$144.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $108.33 / $144.44	Professional		$14.44	$108.33	$144.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $131.63	Professional		$85.26	$100.30	$131.63
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 $91.51 / $97.42 / $147.60	Professional		$91.51	$97.42	$147.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $130.38 / $138.68	Professional		$122.72	$130.38	$138.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $121.35	Professional		$121.35	$121.35	$121.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $131.63	Professional		$85.26	$100.30	$131.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $88.72 / $138.66	Professional		$61.00	$88.72	$138.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.72 / $122.72 / $122.72	Facility		$122.72	$122.72	$122.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $122.72 / $138.68	Professional		$122.72	$122.72	$138.68