Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $72.69 / $167.02	Facility		$56.87	$72.69	$167.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $77.58 / $105.31	Professional		$56.87	$77.58	$105.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $170.36 / $334.04	Facility		$167.02	$170.36	$334.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $94.06 / $260.54	Professional		$94.06	$94.06	$260.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $139.16 / $139.16	Facility		$129.41	$139.16	$139.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $139.16 / $139.16	Professional		$139.16	$139.16	$139.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $126.78	Professional		$85.67	$85.67	$126.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $319.00 / $375.80	Facility		$167.02	$319.00	$375.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $125.27 / $300.64	Professional		$86.25	$125.27	$300.64
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 / $100.42 / $119.78	Professional		$75.75	$100.42	$119.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $135.47 / $135.47	Professional		$135.47	$135.47	$135.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $555.00	Facility		$117.36	$117.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $99.53 / $243.51	Professional		$85.67	$99.53	$243.51
United Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $86.72 / $152.77	Professional		$55.55	$86.72	$152.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $100.42 / $104.37	Facility		$100.42	$100.42	$104.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $100.42 / $106.70	Professional		$75.75	$100.42	$106.70