Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $89.52 / $165.83	Facility		$48.34	$89.52	$165.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $72.09 / $93.34	Professional		$48.34	$72.09	$93.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $144.84 / $284.00	Facility		$142.00	$144.84	$284.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $85.06 / $226.68	Professional		$85.06	$85.06	$226.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $118.31 / $118.31	Facility		$110.03	$118.31	$118.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Professional		$118.31	$118.31	$118.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $102.60	Professional		$74.90	$74.90	$102.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $298.20 / $332.00	Facility		$142.00	$298.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $107.68 / $255.60	Professional		$83.78	$107.68	$255.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.68 / $107.68 / $107.68	Facility		$107.68	$107.68	$107.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $90.71 / $118.31	Professional		$85.38	$90.71	$118.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $115.19 / $115.19	Professional		$115.19	$115.19	$115.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $555.00	Facility		$102.60	$102.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $74.90 / $211.58	Professional		$65.23	$74.90	$211.58
United Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $76.75 / $129.88	Professional		$47.23	$76.75	$129.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $85.38 / $88.72	Facility		$85.38	$85.38	$88.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $85.38 / $107.68	Professional		$85.38	$85.38	$107.68