Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.15 / $435.24 / $825.00	Facility		$237.15	$435.24	$825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $139.50 / $675.18	Professional		$76.38	$139.50	$675.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $279.00 / $725.40	Facility		$279.00	$279.00	$725.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $136.86 / $418.36	Professional		$111.60	$136.86	$418.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $279.00 / $279.00	Facility		$167.40	$279.00	$279.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $279.00 / $279.00	Professional		$203.67	$279.00	$279.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.39 / $589.39 / $745.14	Facility		$341.39	$589.39	$745.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $377.49 / $905.34	Professional		$168.06	$377.49	$905.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $362.70 / $627.75	Facility		$279.00	$362.70	$627.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $291.08 / $510.57	Professional		$195.30	$291.08	$510.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.67 / $168.67 / $168.67	Facility		$168.67	$168.67	$168.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $265.05 / $328.38	Professional		$168.67	$265.05	$328.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.88 / $1,242.88 / $1,242.88	Facility		$1,242.88	$1,242.88	$1,242.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $597.00 / $745.14	Facility		$254.50	$597.00	$745.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $279.00 / $837.00	Professional		$105.11	$279.00	$837.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $163.01 / $432.45	Professional		$98.77	$163.01	$432.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $295.74 / $295.74	Facility		$11.66	$295.74	$295.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $279.00 / $328.38	Professional		$215.43	$279.00	$328.38