Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $305.58 / $558.35	Facility		$144.05	$305.58	$558.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $157.41 / $312.45	Professional		$96.30	$157.41	$312.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $481.52	Facility		$185.20	$185.20	$481.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $414.01	Professional		$74.08	$74.08	$414.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $185.20 / $185.20	Facility		$111.12	$185.20	$185.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $185.20 / $185.20	Professional		$143.86	$185.20	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.43 / $391.24 / $480.80	Facility		$226.43	$391.24	$480.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $248.29 / $598.22	Professional		$115.01	$248.29	$598.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $156.40 / $250.00 / $416.70	Facility		$156.40	$250.00	$416.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $193.22 / $338.92	Professional		$129.63	$193.22	$338.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $112.23 / $112.23	Facility		$112.23	$112.23	$112.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $175.94 / $217.98	Professional		$112.23	$175.94	$217.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.13 / $340.85 / $840.91	Facility		$163.13	$340.85	$840.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $452.07 / $555.00	Facility		$169.74	$452.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $238.45 / $555.60	Professional		$115.30	$238.45	$555.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $287.06	Professional		$77.78	$111.12	$287.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.31 / $196.31 / $258.02	Facility		$196.31	$196.31	$258.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $185.20 / $258.02	Professional		$144.78	$185.20	$258.02