Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $73.36 / $135.79	Facility		$57.39	$73.36	$135.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $73.66 / $106.27	Professional		$57.39	$73.66	$106.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $171.93 / $337.12	Facility		$168.56	$171.93	$337.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.09 / $259.81	Professional		$92.09	$92.09	$259.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $140.44 / $140.44	Facility		$130.61	$140.44	$140.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Professional		$140.44	$140.44	$140.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $116.46	Professional		$85.02	$85.02	$116.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $319.00 / $379.26	Facility		$168.56	$319.00	$379.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $124.73 / $303.41	Professional		$98.98	$124.73	$303.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $123.73	Facility		$123.73	$123.73	$123.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $107.68 / $140.44	Professional		$101.35	$107.68	$140.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $136.72	Professional		$136.72	$136.72	$136.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $555.00	Facility		$116.46	$116.46	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $104.18 / $250.31	Professional		$85.02	$104.18	$250.31
United Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $86.63 / $154.18	Professional		$56.06	$86.63	$154.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $101.35 / $101.35	Facility		$90.11	$101.35	$101.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $101.35 / $123.73	Professional		$101.35	$101.35	$123.73