Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $131.83 / $22,387.21	Facility		$93.33	$131.83	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $288.40	Professional		$93.33	$93.33	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Facility		$93.33	$93.33	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $83.18	Facility		$79.43	$79.43	$83.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $134.90	Facility		$83.18	$89.13	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $107.15	Professional		$93.33	$93.33	$107.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $323.59	Facility		$89.13	$114.82	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $120.23	Professional		$97.72	$102.33	$120.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Facility		$91.20	$91.20	$93.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $53,703.18	Facility		$100.00	$213.80	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $120.23	Professional		$89.13	$93.33	$120.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $107.15	Facility		$91.20	$91.20	$107.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33