Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $151.99 / $221.51	Professional		$119.48	$151.99	$221.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $152.21 / $342.40	Professional		$152.21	$152.21	$342.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $180.25 / $240.32	Facility		$24.03	$180.25	$240.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $180.25 / $240.32	Professional		$24.03	$180.25	$240.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $169.65	Facility		$126.72	$126.72	$169.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $207.75	Professional		$107.71	$126.72	$207.75
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 $113.89 / $154.31 / $194.23	Professional		$113.89	$154.31	$194.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $270.81 / $285.22	Professional		$249.88	$270.81	$285.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $151.53 / $151.53	Professional		$151.53	$151.53	$151.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $169.65	Facility		$126.72	$126.72	$169.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $211.26	Professional		$107.71	$126.72	$211.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $143.71 / $267.51	Professional		$76.18	$143.71	$267.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.88 / $254.88 / $254.88	Facility		$254.88	$254.88	$254.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $254.88 / $285.22	Professional		$254.88	$254.88	$285.22