Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $288.91 / $527.82	Facility		$129.63	$288.91	$527.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $111.12 / $247.32	Professional		$96.30	$111.12	$247.32
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 $135.19 / $185.20 / $185.20	Professional		$135.19	$185.20	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $391.24 / $480.80	Facility		$222.24	$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 $149.05 / $347.76 / $494.59	Facility		$149.05	$347.76	$494.59
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 Facility Modifier Low / Median / High Price $166.68 / $166.68 / $185.20	Facility		$166.68	$166.68	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $280.69	Professional		$77.78	$111.12	$280.69
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