Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $342.31 / $674.25	Facility		$197.09	$342.31	$674.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $187.11 / $785.17	Professional		$154.02	$187.11	$785.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $207.46 / $539.40	Facility		$207.46	$207.46	$539.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $175.69 / $558.02	Professional		$102.45	$175.69	$558.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $207.46 / $207.46	Facility		$124.48	$207.46	$207.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $207.46 / $207.46	Professional		$151.44	$207.46	$207.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.91 / $438.26 / $554.20	Facility		$253.91	$438.26	$554.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $335.63 / $830.58	Professional		$139.97	$335.63	$830.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $250.00 / $466.79	Facility		$62.00	$250.00	$466.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $216.44 / $379.65	Professional		$145.22	$216.44	$379.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $197.09 / $376.19	Professional		$159.56	$197.09	$376.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $207.46 / $920.00	Facility		$207.46	$207.46	$920.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.28 / $506.55 / $597.00	Facility		$202.28	$506.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $302.64 / $669.86	Professional		$145.00	$302.64	$669.86
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $124.48 / $321.56	Professional		$87.13	$124.48	$321.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $219.91 / $219.91 / $251.74	Facility		$219.91	$219.91	$251.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $207.46 / $551.29	Professional		$176.34	$207.46	$551.29