Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $81.73 / $151.30	Facility		$63.94	$81.73	$151.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $81.73 / $118.41	Professional		$57.02	$81.73	$118.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.82 / $191.58 / $375.64	Facility		$187.82	$191.58	$375.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $106.22 / $294.22	Professional		$106.22	$106.22	$294.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $156.47 / $156.47	Facility		$145.53	$156.47	$156.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $156.47 / $156.47	Professional		$156.47	$156.47	$156.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $153.94	Facility		$107.42	$107.42	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $153.94	Professional		$78.42	$78.42	$153.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.82 / $319.29 / $422.60	Facility		$187.82	$319.29	$422.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $138.99 / $338.08	Professional		$110.81	$138.99	$338.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $142.55 / $142.55	Facility		$142.55	$142.55	$142.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $115.40 / $156.47	Professional		$108.62	$115.40	$156.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $152.35 / $152.35	Professional		$152.35	$152.35	$152.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $153.94 / $555.00	Facility		$107.42	$153.94	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $247.67	Professional		$78.42	$107.42	$247.67
United Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $85.00 / $91.26	Facility		$64.59	$85.00	$91.26
United Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $97.20 / $169.04	Professional		$62.47	$97.20	$169.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.39 / $108.62 / $108.62	Facility		$100.39	$108.62	$108.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $108.62 / $142.55	Professional		$108.62	$108.62	$142.55