Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $208.56 / $441.19	Facility		$96.75	$208.56	$441.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $123.62 / $164.52	Professional		$123.35	$123.62	$164.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $123.36 / $173.44	Professional		$119.78	$123.36	$173.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.65 / $115.65 / $121.43	Facility		$115.65	$115.65	$121.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $115.65 / $115.65	Professional		$115.65	$115.65	$115.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $123.36	Facility		$116.38	$116.38	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $174.57 / $332.00	Facility		$116.38	$174.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.84 / $133.84 / $159.44	Professional		$133.84	$133.84	$159.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $128.02	Facility		$123.36	$123.36	$128.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $128.02	Professional		$123.36	$123.36	$128.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $150.36 / $259.69	Facility		$104.03	$150.36	$259.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $555.00	Facility		$116.38	$116.38	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $123.36 / $193.00	Professional		$114.39	$123.36	$193.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $188.74	Professional		$123.36	$123.36	$188.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.02 / $128.02 / $128.02	Facility		$128.02	$128.02	$128.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $123.36 / $128.02	Professional		$71.45	$123.36	$128.02