Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $315.74 / $602.14	Facility		$163.94	$315.74	$602.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $157.87 / $293.48	Professional		$110.31	$157.87	$293.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $526.24	Facility		$202.40	$202.40	$526.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $110.92 / $435.16	Professional		$80.95	$110.92	$435.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $202.40 / $202.40	Facility		$121.44	$202.40	$202.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $202.40 / $202.40	Professional		$147.75	$202.40	$202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.59 / $427.57 / $540.23	Facility		$247.59	$427.57	$540.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $262.79 / $653.42	Professional		$122.02	$262.79	$653.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $263.12 / $455.40	Facility		$157.97	$263.12	$455.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $211.16 / $370.39	Professional		$141.68	$211.16	$370.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.59 / $192.59 / $192.59	Facility		$192.59	$192.59	$192.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $199.90 / $245.98	Professional		$172.04	$199.90	$245.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.95 / $335.95 / $335.95	Facility		$335.95	$335.95	$335.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $493.78 / $597.00	Facility		$197.34	$493.78	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $253.00 / $607.20	Professional		$122.89	$253.00	$607.20
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $313.72	Professional		$85.01	$121.44	$313.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.54 / $214.54 / $265.00	Facility		$214.54	$214.54	$265.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $214.54 / $265.00	Professional		$172.04	$214.54	$265.00