Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $332.18 / $584.98	Facility		$192.50	$332.18	$584.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $188.43 / $313.38	Professional		$155.10	$188.43	$313.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $543.19	Facility		$208.92	$208.92	$543.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $103.17 / $498.91	Professional		$90.56	$103.17	$498.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.35 / $208.92 / $208.92	Facility		$125.35	$208.92	$208.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $208.92 / $208.92	Professional		$152.51	$208.92	$208.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.63 / $441.35 / $557.92	Facility		$255.63	$441.35	$557.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $337.73 / $836.42	Professional		$140.86	$337.73	$836.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $250.00 / $470.07	Facility		$61.00	$250.00	$470.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $217.97 / $382.32	Professional		$146.24	$217.97	$382.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $198.47 / $378.83	Professional		$157.86	$198.47	$378.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $350.00	Facility		$208.92	$208.92	$350.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.70 / $509.96 / $597.00	Facility		$203.70	$509.96	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $304.74 / $674.36	Professional		$145.00	$304.74	$674.36
United Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $188.03 / $208.92	Facility		$188.03	$188.03	$208.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $125.35 / $323.83	Professional		$87.75	$125.35	$323.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.46 / $221.46 / $236.42	Facility		$221.46	$221.46	$236.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $208.92 / $249.05	Professional		$171.89	$208.92	$249.05