Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $164.84 / $275.25	Facility		$82.57	$164.84	$275.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $91.74 / $209.52	Professional		$80.14	$91.74	$209.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $82.58 / $166.37	Professional		$81.83	$82.58	$166.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $78.98 / $82.94	Facility		$78.98	$78.98	$82.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $78.98	Professional		$78.98	$78.98	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $83.24	Facility		$77.90	$77.90	$83.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $116.85 / $332.00	Facility		$77.90	$116.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $89.59 / $106.72	Professional		$89.59	$89.59	$106.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $82.58 / $89.59	Facility		$82.58	$82.58	$89.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $89.59	Professional		$82.58	$82.58	$89.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $104.15 / $329.71	Facility		$94.38	$104.15	$329.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $555.00	Facility		$77.90	$77.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $100.60 / $118.00	Professional		$82.57	$100.60	$118.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $130.53	Professional		$82.58	$82.58	$130.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.59 / $89.59 / $89.59	Facility		$89.59	$89.59	$89.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $82.58 / $89.59	Professional		$81.84	$82.58	$89.59