Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $92.24 / $170.74	Facility		$77.89	$92.24	$170.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $92.24 / $133.63	Professional		$71.38	$92.24	$133.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.97 / $216.21 / $423.94	Facility		$211.97	$216.21	$423.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $309.63	Professional		$97.21	$97.21	$309.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.23 / $176.59 / $176.59	Facility		$164.23	$176.59	$176.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $176.59 / $176.59	Professional		$176.59	$176.59	$176.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.25	Professional		$82.67	$82.67	$113.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $211.97 / $332.00 / $476.93	Facility		$211.97	$332.00	$476.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $152.62 / $381.55	Professional		$109.45	$152.62	$381.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $122.57 / $151.99	Professional		$90.90	$122.57	$151.99
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Professional		$61.81	$61.81	$61.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $171.93 / $171.93	Professional		$171.93	$171.93	$171.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $555.00	Facility		$113.25	$113.25	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $259.69	Professional		$82.67	$113.25	$259.69
United Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $114.41 / $190.84	Professional		$70.50	$114.41	$190.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.57 / $122.57 / $132.41	Facility		$122.57	$122.57	$132.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $122.57 / $130.24	Professional		$90.90	$122.57	$130.24