Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.34 / $485.96 / $842.73	Facility		$250.34	$485.96	$842.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $250.34 / $441.78	Professional		$156.10	$250.34	$441.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $294.52 / $765.75	Facility		$294.52	$294.52	$765.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $145.44 / $683.49	Professional		$128.60	$145.44	$683.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $176.71 / $294.52 / $294.52	Facility		$176.71	$294.52	$294.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $294.52 / $294.52	Professional		$215.00	$294.52	$294.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.17 / $622.17 / $786.13	Facility		$360.17	$622.17	$786.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.69 / $476.18 / $1,179.86	Professional		$198.69	$476.18	$1,179.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $294.52 / $662.67	Facility		$107.00	$294.52	$662.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $307.27 / $538.97	Professional		$206.16	$307.27	$538.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $290.88 / $534.04	Professional		$250.34	$290.88	$534.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.49 / $618.49 / $618.49	Facility		$618.49	$618.49	$618.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $643.55 / $786.13	Facility		$254.50	$643.55	$786.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $430.10 / $950.18	Professional		$235.62	$430.10	$950.18
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $176.71 / $462.35	Professional		$123.70	$176.71	$462.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $312.19 / $312.19 / $437.03	Facility		$312.19	$312.19	$437.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $294.52 / $529.58	Professional		$259.93	$294.52	$529.58