Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $70.02 / $129.61	Facility		$59.12	$70.02	$129.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $70.02 / $101.44	Professional		$59.12	$70.02	$101.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.90 / $164.12 / $321.80	Facility		$160.90	$164.12	$321.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $93.24 / $255.12	Professional		$93.24	$93.24	$255.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.67 / $134.05 / $134.05	Facility		$124.67	$134.05	$134.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.05 / $134.05 / $134.05	Professional		$134.05	$134.05	$134.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.90 / $319.00 / $362.03	Facility		$160.90	$319.00	$362.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $115.85 / $289.62	Professional		$83.08	$115.85	$289.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $96.73 / $115.38	Professional		$60.60	$96.73	$115.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $130.51 / $130.51	Professional		$130.51	$130.51	$130.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $555.00	Facility		$99.32	$99.32	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $95.84 / $222.66	Professional		$72.50	$95.84	$222.66
United Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $91.89 / $142.22	Professional		$53.51	$91.89	$142.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $96.73 / $100.51	Facility		$96.73	$96.73	$100.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $96.73 / $102.77	Professional		$60.60	$96.73	$102.77