Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $372.06 / $760.50	Facility		$198.90	$372.06	$760.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $182.52 / $339.30	Professional		$82.93	$182.52	$339.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $608.40	Facility		$234.00	$234.00	$608.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $93.60 / $337.43	Professional		$29.01	$93.60	$337.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $234.00 / $234.00	Facility		$140.40	$234.00	$234.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $234.00 / $234.00	Professional		$58.84	$234.00	$234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $494.33 / $624.99	Facility		$286.33	$494.33	$624.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $363.66 / $759.32	Professional		$141.94	$363.66	$759.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $332.00 / $526.50	Facility		$234.00	$332.00	$526.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $244.13 / $428.22	Professional		$163.80	$244.13	$428.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $222.30 / $417.35	Professional		$187.20	$222.30	$417.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.05 / $420.63 / $488.80	Facility		$284.05	$420.63	$488.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.15 / $571.25 / $624.99	Facility		$228.15	$571.25	$624.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $286.64 / $702.00	Professional		$110.00	$286.64	$702.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $354.65	Professional		$98.28	$140.40	$354.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $248.04 / $248.04 / $248.04	Facility		$248.04	$248.04	$248.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $234.00 / $275.42	Professional		$187.20	$234.00	$275.42