Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $85.87 / $158.94	Facility		$67.18	$85.87	$158.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $108.29 / $248.80	Professional		$67.18	$108.29	$248.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $201.26 / $394.62	Facility		$197.31	$201.26	$394.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $109.27 / $305.82	Professional		$109.27	$109.27	$305.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $164.40 / $164.40	Facility		$152.88	$164.40	$164.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $164.40 / $164.40	Professional		$164.40	$164.40	$164.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $115.34	Professional		$82.25	$82.25	$115.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $332.00 / $443.95	Facility		$197.31	$332.00	$443.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $152.56 / $355.16	Professional		$116.41	$152.56	$355.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $126.05 / $164.40	Professional		$118.63	$126.05	$164.40
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $102.66 / $102.66	Professional		$102.66	$102.66	$102.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $160.05 / $160.05	Professional		$160.05	$160.05	$160.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $555.00	Facility		$112.67	$112.67	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $260.16	Professional		$82.25	$112.67	$260.16
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $102.85 / $180.90	Professional		$65.63	$102.85	$180.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $118.63 / $123.29	Facility		$118.63	$118.63	$123.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $118.63 / $153.22	Professional		$118.63	$118.63	$153.22