Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $71.75 / $132.82	Facility		$39.52	$71.75	$132.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $71.75 / $103.95	Professional		$56.13	$71.75	$103.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $168.17 / $329.74	Facility		$164.87	$168.17	$329.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $85.77 / $253.45	Professional		$85.77	$85.77	$253.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $137.36 / $137.36	Facility		$127.74	$137.36	$137.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $141.93	Professional		$84.23	$84.23	$141.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $319.00 / $370.96	Facility		$164.87	$319.00	$370.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $118.71 / $296.77	Professional		$85.14	$118.71	$296.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $95.34 / $118.23	Professional		$75.75	$95.34	$118.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $133.74 / $133.74	Professional		$133.74	$133.74	$133.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $141.93 / $555.00	Facility		$115.38	$141.93	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $98.22 / $219.78	Professional		$84.23	$98.22	$219.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $83.25 / $148.44	Professional		$54.84	$83.25	$148.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $95.34 / $110.16	Facility		$95.34	$95.34	$110.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $95.34 / $101.30	Professional		$75.75	$95.34	$101.30