Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $320.39 / $554.48	Facility		$163.22	$320.39	$554.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $171.28 / $308.95	Professional		$149.59	$171.28	$308.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $201.50 / $523.90	Facility		$201.50	$201.50	$523.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $99.50 / $467.61	Professional		$80.59	$99.50	$467.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.90 / $201.50 / $201.50	Facility		$120.90	$201.50	$201.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $201.50 / $201.50	Professional		$147.10	$201.50	$201.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.32 / $425.69 / $537.42	Facility		$246.32	$425.69	$537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $325.67 / $807.22	Professional		$135.82	$325.67	$807.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $250.00 / $453.38	Facility		$61.00	$250.00	$453.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $210.22 / $368.75	Professional		$141.05	$210.22	$368.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $191.43 / $365.38	Professional		$157.86	$191.43	$365.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $201.50 / $343.68	Facility		$201.50	$201.50	$343.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $196.47 / $491.23 / $597.00	Facility		$196.47	$491.23	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $294.25 / $649.59	Professional		$145.00	$294.25	$649.59
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $120.90 / $316.32	Professional		$84.63	$120.90	$316.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.59 / $213.59 / $249.05	Facility		$213.59	$213.59	$249.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $201.50 / $535.47	Professional		$171.28	$201.50	$535.47