Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $91.61 / $220.41	Facility		$71.67	$91.61	$220.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $102.64 / $132.72	Professional		$71.67	$102.64	$132.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.51 / $214.72 / $421.02	Facility		$210.51	$214.72	$421.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $122.25 / $333.82	Professional		$122.25	$122.25	$333.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.11 / $175.39 / $175.39	Facility		$163.11	$175.39	$175.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $175.39 / $175.39	Professional		$175.39	$175.39	$175.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $189.07	Professional		$91.70	$91.70	$189.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $210.51 / $332.00 / $473.65	Facility		$210.51	$332.00	$473.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $157.88 / $378.92	Professional		$108.70	$157.88	$378.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $73.28 / $73.28	Facility		$73.28	$73.28	$73.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $126.57 / $150.96	Professional		$73.28	$126.57	$150.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.75 / $170.75 / $170.75	Professional		$170.75	$170.75	$170.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $555.00	Facility		$125.61	$125.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $125.61 / $271.02	Professional		$29.40	$125.61	$271.02
United Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $115.91 / $201.02	Professional		$70.02	$115.91	$201.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $126.57 / $143.15	Facility		$126.57	$126.57	$143.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $126.57 / $134.47	Professional		$73.28	$126.57	$134.47