Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $925.75 / $8,195.86	Facility		$266.44	$925.75	$8,195.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $279.85 / $322.39	Professional		$266.44	$279.85	$322.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.88 / $223.88 / $279.85	Facility		$223.88	$223.88	$279.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $335.22 / $504.42	Professional		$335.22	$335.22	$504.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $308.67 / $308.67 / $308.67	Facility		$308.67	$308.67	$308.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $308.67 / $308.67 / $308.67	Professional		$308.67	$308.67	$308.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $264.01 / $398.31	Facility		$264.01	$264.01	$398.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $367.47 / $610.00	Facility		$264.01	$367.47	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $307.44 / $367.47 / $483.14	Professional		$307.44	$367.47	$483.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $279.85 / $290.41	Facility		$279.85	$279.85	$290.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $290.41	Professional		$279.85	$279.85	$290.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.08 / $362.86 / $450.24	Facility		$173.08	$362.86	$450.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $264.01 / $555.00	Facility		$264.01	$264.01	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $365.39 / $420.47	Professional		$35.00	$365.39	$420.47
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $335.82 / $816.60	Professional		$279.85	$335.82	$816.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $290.41 / $290.41	Facility		$148.28	$290.41	$290.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $216.39 / $290.41	Professional		$147.65	$216.39	$290.41