Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $135.94 / $7,330.06	Facility		$89.34	$135.94	$7,330.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $126.54	Professional		$89.34	$89.34	$126.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $71.47 / $89.34	Facility		$71.47	$71.47	$89.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $207.32	Professional		$89.34	$89.34	$207.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $127.44 / $133.81	Facility		$127.44	$127.44	$133.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $127.44 / $127.44	Professional		$127.44	$127.44	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $121.44 / $137.66	Facility		$84.29	$121.44	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $146.90	Professional		$89.34	$89.34	$146.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $139.08 / $332.00	Facility		$92.72	$139.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $92.72 / $118.01	Professional		$92.72	$92.72	$118.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $102.95 / $102.95	Facility		$91.03	$102.95	$102.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $91.03 / $91.03	Professional		$89.34	$91.03	$91.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $137.35 / $137.35	Professional		$137.35	$137.35	$137.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $125.08 / $179.60	Facility		$84.29	$125.08	$179.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $172.45	Professional		$89.34	$89.34	$172.45
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $131.51	Professional		$89.34	$94.70	$131.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Facility		$91.03	$91.03	$91.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $91.03 / $91.03	Professional		$89.34	$91.03	$91.03