Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $384.57 / $677.93	Facility		$172.56	$384.57	$677.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $192.29 / $358.35	Professional		$134.49	$192.29	$358.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $246.52 / $640.95	Facility		$246.52	$246.52	$640.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $98.61 / $507.26	Professional		$36.38	$98.61	$507.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $246.52 / $246.52	Facility		$147.91	$246.52	$246.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $246.52 / $246.52	Professional		$179.96	$246.52	$246.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.70 / $520.78 / $658.52	Facility		$301.70	$520.78	$658.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $359.81 / $800.21	Professional		$149.62	$359.81	$800.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $282.00 / $554.66	Facility		$24.00	$282.00	$554.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $257.19 / $451.13	Professional		$172.56	$257.19	$451.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $246.52 / $246.52	Facility		$246.52	$246.52	$246.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $246.52 / $318.01	Professional		$68.28	$246.52	$318.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.43 / $378.43 / $378.43	Facility		$378.43	$378.43	$378.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.36 / $597.00 / $658.52	Facility		$240.36	$597.00	$658.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $322.18 / $739.56	Professional		$55.00	$322.18	$739.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $369.78	Professional		$103.54	$147.91	$369.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $261.31 / $261.31	Facility		$93.92	$261.31	$261.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $246.52 / $318.01	Professional		$68.28	$246.52	$318.01