Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $274.02 / $599.13	Facility		$68.43	$274.02	$599.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $101.78 / $135.22	Professional		$85.59	$101.78	$135.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $156.59 / $407.13	Facility		$156.59	$156.59	$407.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $92.39 / $234.84	Professional		$31.98	$92.39	$234.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $156.59 / $156.59	Facility		$156.59	$156.59	$156.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $156.59 / $156.59	Professional		$114.31	$156.59	$156.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $317.27 / $406.56	Facility		$109.42	$317.27	$406.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $754.76	Professional		$59.04	$82.33	$754.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $203.57 / $352.33	Facility		$80.84	$203.57	$352.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $92.39 / $292.82	Professional		$62.64	$92.39	$292.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $124.29 / $164.16	Professional		$77.03	$124.29	$164.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $103.31 / $540.45	Facility		$61.11	$103.31	$540.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $382.26 / $563.61	Facility		$152.66	$382.26	$563.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $92.24 / $242.71	Professional		$82.33	$92.24	$242.71
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $74.38 / $229.99	Professional		$63.00	$74.38	$229.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $180.07 / $180.07	Facility		$175.70	$180.07	$180.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $133.10 / $188.21	Professional		$77.03	$133.10	$188.21