Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $223.70 / $422.87	Facility		$121.24	$223.70	$422.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $201.03	Professional		$75.59	$99.84	$201.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $370.84	Facility		$142.63	$142.63	$370.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $101.58 / $356.21	Professional		$63.35	$101.58	$356.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $142.63 / $142.63	Facility		$85.58	$142.63	$142.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $142.63 / $142.63	Professional		$104.12	$142.63	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.37 / $301.31 / $380.95	Facility		$174.37	$301.31	$380.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $222.87 / $509.25	Professional		$98.64	$222.87	$509.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $185.42 / $392.23	Facility		$103.00	$185.42	$392.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $148.81 / $266.72	Professional		$99.84	$148.81	$266.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $97.27 / $97.27	Facility		$97.27	$97.27	$97.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $135.50 / $254.39	Professional		$97.27	$135.50	$254.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $169.77 / $372.96	Facility		$94.10	$169.77	$372.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $95.04 / $95.04	Professional		$95.04	$95.04	$95.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $348.21 / $513.53	Facility		$139.07	$348.21	$513.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $221.76 / $460.46	Professional		$102.95	$221.76	$460.46
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $223.91	Professional		$59.90	$85.58	$223.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.02 / $164.02 / $327.75	Facility		$164.02	$164.02	$327.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $142.63 / $379.02	Professional		$121.24	$142.63	$379.02