Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $130.68 / $4,133.51	Facility		$99.13	$130.68	$4,133.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $100.12 / $1,693.37	Professional		$99.13	$100.12	$1,693.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $79.30 / $99.13	Facility		$79.30	$79.30	$99.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $354.04	Professional		$99.13	$99.13	$354.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.14 / $204.14 / $214.35	Facility		$204.14	$204.14	$214.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $204.14 / $204.14	Professional		$204.14	$204.14	$204.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $250.85	Facility		$93.52	$93.52	$250.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $154.31 / $332.00	Facility		$107.55	$154.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $108.18 / $124.41	Professional		$91.95	$108.18	$124.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $99.72	Facility		$99.13	$99.13	$99.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.72	Professional		$99.13	$99.13	$99.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.98 / $187.98 / $187.98	Facility		$187.98	$187.98	$187.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $555.00	Facility		$93.52	$93.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $177.68	Professional		$99.13	$99.13	$177.68
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $105.08 / $155.31	Professional		$99.13	$105.08	$155.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.72 / $99.72 / $99.72	Facility		$99.72	$99.72	$99.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.72	Professional		$99.13	$99.13	$99.72