Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $126.04 / $18,707.74	Facility		$75.22	$126.04	$18,707.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.95 / $91.88	Professional		$75.22	$75.95	$91.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $60.18 / $75.22	Facility		$60.18	$60.18	$75.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $165.33	Professional		$75.22	$75.22	$165.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.63 / $85.63 / $89.91	Facility		$85.63	$85.63	$89.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $85.63 / $85.63	Professional		$85.63	$85.63	$85.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $91.82 / $95.83	Facility		$70.95	$91.82	$95.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $81.61	Professional		$75.22	$75.22	$81.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $117.08 / $332.00	Facility		$78.06	$117.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $95.83	Professional		$78.06	$78.06	$95.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Facility		$75.22	$75.22	$75.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $101.48 / $123.67	Facility		$46.28	$101.48	$123.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $86.42 / $86.42	Professional		$86.42	$86.42	$86.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $94.58 / $114.89	Facility		$70.95	$94.58	$114.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $88.70	Professional		$75.22	$75.22	$88.70
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $79.73 / $112.74	Professional		$75.22	$79.73	$112.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Facility		$75.22	$75.22	$75.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22