Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $241.74 / $1,133.40	Facility		$96.25	$241.74	$1,133.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $241.74 / $364.50	Professional		$205.19	$241.74	$364.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $241.87 / $241.87	Professional		$215.55	$241.87	$241.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $191.75 / $191.75 / $191.75	Facility		$191.75	$191.75	$191.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $191.75 / $191.75	Professional		$191.75	$191.75	$191.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $227.84 / $810.18	Facility		$221.20	$227.84	$810.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.96 / $255.96 / $442.81	Facility		$255.96	$255.96	$442.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $255.96 / $255.96	Professional		$255.96	$255.96	$255.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.98 / $248.98 / $248.98	Facility		$248.98	$248.98	$248.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $248.98 / $270.18	Professional		$248.98	$248.98	$270.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $267.10 / $349.50	Facility		$241.74	$267.10	$349.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.19 / $295.19 / $295.19	Professional		$295.19	$295.19	$295.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $227.84 / $227.84 / $810.18	Facility		$227.84	$227.84	$810.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $265.58	Professional		$161.50	$161.50	$265.58
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $284.39 / $358.92	Professional		$237.13	$284.39	$358.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $248.98 / $248.98 / $248.98	Facility		$248.98	$248.98	$248.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $248.98 / $270.18	Professional		$248.98	$248.98	$270.18