Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.57 / $272.06 / $505.16	Facility		$143.57	$272.06	$505.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $150.66 / $271.77	Professional		$131.59	$150.66	$271.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $177.25 / $460.85	Facility		$177.25	$177.25	$460.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $87.53 / $411.34	Professional		$87.53	$87.53	$411.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $106.35 / $177.25 / $177.25	Facility		$106.35	$177.25	$177.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $177.25 / $177.25	Professional		$129.38	$177.25	$177.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.79 / $374.43 / $473.29	Facility		$216.79	$374.43	$473.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $286.33 / $710.26	Professional		$119.61	$286.33	$710.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $230.43 / $398.81	Facility		$83.00	$230.43	$398.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $184.92 / $324.37	Professional		$124.08	$184.92	$324.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $177.25 / $321.41	Professional		$150.66	$177.25	$321.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $198.90 / $198.90	Facility		$198.90	$198.90	$198.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.82 / $432.50 / $597.00	Facility		$172.82	$432.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $274.74 / $571.91	Professional		$141.80	$274.74	$571.91
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $106.35 / $278.26	Professional		$74.45	$106.35	$278.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $187.89 / $187.89 / $338.41	Facility		$187.89	$187.89	$338.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $187.89 / $471.02	Professional		$168.39	$187.89	$471.02