Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.35 / $346.72 / $621.47	Facility		$185.35	$346.72	$621.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $170.09 / $218.06	Professional		$118.84	$170.09	$218.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $566.96	Facility		$218.06	$218.06	$566.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $111.21 / $398.61	Professional		$87.22	$111.21	$398.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $218.06 / $218.06	Facility		$130.84	$218.06	$218.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $218.06 / $218.06	Professional		$159.18	$218.06	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $327.08 / $761.06	Facility		$115.57	$327.08	$761.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $313.36 / $1,051.05	Professional		$122.11	$313.36	$1,051.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $193.90 / $283.48 / $490.64	Facility		$193.90	$283.48	$490.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $128.66 / $407.77	Professional		$87.22	$128.66	$407.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $207.16 / $248.79	Professional		$136.57	$207.16	$248.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.34 / $678.34 / $743.39	Facility		$678.34	$678.34	$743.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $327.08 / $761.06	Facility		$19.91	$327.08	$761.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $208.36 / $449.20	Professional		$141.74	$208.36	$449.20
United Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $155.19	Facility		$141.74	$141.74	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $125.13 / $316.19	Professional		$91.59	$125.13	$316.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $250.76 / $308.25	Facility		$250.76	$250.76	$308.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $218.06 / $262.08	Professional		$136.57	$218.06	$262.08