Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $85.87 / $158.94	Facility		$69.95	$85.87	$158.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $112.90 / $137.38	Professional		$69.95	$112.90	$137.38
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 $115.83 / $115.83 / $315.01	Professional		$115.83	$115.83	$315.01
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 $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $127.07	Professional		$92.76	$92.76	$127.07
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 $101.89 / $147.97 / $355.16	Professional		$101.89	$147.97	$355.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.99 / $116.99 / $116.99	Facility		$116.99	$116.99	$116.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $124.79 / $141.50	Professional		$116.99	$124.79	$141.50
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $79.55 / $79.55	Professional		$79.55	$79.55	$79.55
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 $106.02 / $127.07 / $555.00	Facility		$106.02	$127.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $120.95 / $305.83	Professional		$92.76	$120.95	$305.83
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $104.94 / $180.48	Professional		$65.63	$104.94	$180.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $124.79 / $124.79	Facility		$124.79	$124.79	$124.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $124.79 / $132.58	Professional		$116.99	$124.79	$132.58