Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $177.03 / $1,686.92	Facility		$108.47	$177.03	$1,686.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $132.46	Professional		$108.47	$108.47	$132.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $86.78 / $108.47	Facility		$86.78	$86.78	$108.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $108.47 / $385.44	Professional		$96.45	$108.47	$385.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $200.52 / $200.52 / $210.55	Facility		$200.52	$200.52	$210.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $200.52 / $200.52 / $200.52	Professional		$200.52	$200.52	$200.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $110.46 / $325.79	Facility		$102.33	$110.46	$325.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $127.91	Professional		$108.47	$108.47	$127.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $168.84 / $332.00	Facility		$117.68	$168.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.68 / $139.06	Professional		$102.33	$117.68	$139.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $110.51	Facility		$108.47	$108.47	$110.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $110.51 / $110.51	Professional		$108.47	$110.51	$110.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.18 / $226.18 / $226.18	Facility		$226.18	$226.18	$226.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $163.28 / $325.79	Facility		$102.33	$163.28	$325.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $404.21	Professional		$108.47	$108.47	$404.21
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $113.69 / $162.71	Professional		$108.47	$113.69	$162.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $110.51 / $110.51	Facility		$110.51	$110.51	$110.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $110.51 / $110.51	Professional		$108.47	$110.51	$110.51