Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $81.14 / $167.98	Facility		$66.11	$81.14	$167.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $106.85 / $258.88	Professional		$66.11	$106.85	$258.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $190.16 / $372.86	Facility		$186.43	$190.16	$372.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $112.34 / $299.38	Professional		$112.34	$112.34	$299.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $155.33 / $155.33	Facility		$144.46	$155.33	$155.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $155.33 / $155.33	Professional		$155.33	$155.33	$155.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $319.00 / $419.47	Facility		$186.43	$319.00	$419.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $139.82 / $339.68	Professional		$109.99	$139.82	$339.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $125.28 / $155.33	Professional		$117.91	$125.28	$155.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $182.40 / $182.40	Facility		$182.40	$182.40	$182.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $151.24 / $151.24	Professional		$151.24	$151.24	$151.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $555.00	Facility		$118.47	$120.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $115.23 / $246.00	Professional		$88.19	$115.23	$246.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $99.32 / $170.64	Professional		$62.01	$99.32	$170.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.91 / $117.91 / $117.91	Facility		$117.91	$117.91	$117.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $117.91 / $125.28	Professional		$117.91	$117.91	$125.28