Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $414.20 / $742.43	Facility		$221.43	$414.20	$742.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $203.19 / $260.50	Professional		$138.07	$203.19	$260.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $677.30	Facility		$260.50	$260.50	$677.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $104.20 / $354.28	Professional		$33.96	$104.20	$354.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $260.50 / $260.50	Facility		$156.30	$260.50	$260.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.17 / $260.50 / $260.50	Professional		$190.17	$260.50	$260.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $468.70 / $639.53	Facility		$171.21	$468.70	$639.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $319.00 / $845.77	Professional		$156.22	$319.00	$845.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $282.00 / $586.13	Facility		$12.00	$282.00	$586.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $208.40 / $476.72	Professional		$119.83	$208.40	$476.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $247.48 / $306.61	Professional		$172.29	$247.48	$306.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $173.59 / $173.59	Professional		$173.59	$173.59	$173.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $488.03 / $910.20	Facility		$19.91	$488.03	$910.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $283.95 / $781.50	Professional		$159.35	$283.95	$781.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $403.78	Professional		$109.41	$156.30	$403.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $276.13 / $276.13	Facility		$10.64	$276.13	$276.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $247.48 / $306.61	Professional		$163.15	$247.48	$306.61