Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.79 / $370.58 / $641.35	Facility		$188.79	$370.58	$641.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.65 / $229.99 / $450.00	Professional		$159.65	$229.99	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $233.07 / $605.98	Facility		$233.07	$233.07	$605.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $118.86 / $520.60	Professional		$106.20	$118.86	$520.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.84 / $233.07 / $233.07	Facility		$139.84	$233.07	$233.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $233.07 / $233.07	Professional		$170.14	$233.07	$233.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.06 / $492.38 / $622.19	Facility		$285.06	$492.38	$622.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $373.87 / $860.95	Professional		$145.02	$373.87	$860.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $302.99 / $610.00	Facility		$195.11	$302.99	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $243.16 / $426.52	Professional		$163.15	$243.16	$426.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $233.07 / $422.62	Professional		$198.11	$233.07	$422.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.29 / $743.29 / $814.57	Facility		$743.29	$743.29	$814.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $227.25 / $568.69 / $622.19	Facility		$227.25	$568.69	$622.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $341.61 / $752.04	Professional		$172.57	$341.61	$752.04
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $139.84 / $365.88	Professional		$97.89	$139.84	$365.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $247.05 / $247.05 / $247.05	Facility		$247.05	$247.05	$247.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $233.07 / $619.36	Professional		$221.42	$233.07	$619.36