Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $107.08 / $233.58	Facility		$70.43	$107.08	$233.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $99.67	Professional		$69.73	$69.73	$99.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $149.61	Professional		$69.73	$69.73	$149.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.56 / $125.56 / $131.84	Facility		$125.56	$125.56	$131.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.56 / $125.56 / $125.56	Professional		$125.56	$125.56	$125.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $121.06	Facility		$65.78	$69.73	$121.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $118.40 / $332.00	Facility		$75.65	$118.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $75.65 / $153.83	Professional		$60.52	$75.65	$153.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $72.36	Facility		$69.73	$69.73	$72.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $72.36	Professional		$69.73	$69.73	$72.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $95.62 / $95.62	Facility		$95.62	$95.62	$95.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $144.76	Facility		$65.78	$69.73	$144.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $95.63 / $109.00	Professional		$69.73	$95.63	$109.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $109.25	Professional		$27.89	$69.73	$109.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Facility		$72.36	$72.36	$72.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $72.36 / $72.36	Professional		$63.22	$72.36	$72.36