Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.28 / $120.28 / $120.28	Facility		$120.28	$120.28	$120.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $129.60 / $273.10	Professional		$80.51	$129.60	$273.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $112.25 / $265.83	Professional		$90.39	$112.25	$265.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $189.95 / $189.95	Facility		$189.95	$189.95	$189.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $189.95	Professional		$189.95	$189.95	$189.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.44 / $126.44 / $303.79	Facility		$126.44	$126.44	$303.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $182.27 / $279.19	Professional		$144.66	$182.27	$279.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $140.50 / $261.45	Professional		$102.61	$140.50	$261.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $142.97 / $153.44	Professional		$142.97	$142.97	$153.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $597.00	Facility		$149.41	$149.41	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $137.71 / $295.55	Professional		$115.76	$137.71	$295.55
United Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $155.41 / $344.06	Professional		$115.24	$155.41	$344.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $140.99 / $263.60	Professional		$102.61	$140.99	$263.60