Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $1,184.67 / $6,271.63	Facility		$112.34	$1,184.67	$6,271.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $125.54 / $238.16	Professional		$94.86	$125.54	$238.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $110.21 / $317.68	Professional		$84.31	$110.21	$317.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $200.01 / $215.06 / $215.06	Facility		$200.01	$215.06	$215.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $215.06 / $215.06	Professional		$215.06	$215.06	$215.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $195.78	Professional		$166.41	$166.41	$195.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $258.13 / $332.00 / $580.79	Facility		$258.13	$332.00	$580.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $193.60 / $470.31	Professional		$152.30	$193.60	$470.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $164.89 / $215.06	Professional		$155.19	$164.89	$215.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.50 / $1,178.09 / $1,980.00	Facility		$530.50	$1,178.09	$1,980.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $555.00	Facility		$195.78	$195.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $400.10	Professional		$166.41	$166.41	$400.10
United Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $156.46 / $236.09	Professional		$85.85	$156.46	$236.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $155.19 / $164.50	Facility		$155.19	$155.19	$164.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $164.89	Professional		$155.19	$155.19	$164.89