Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $262.39 / $695.01	Facility		$121.27	$262.39	$695.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $177.56 / $343.48	Professional		$144.21	$177.56	$343.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $142.04 / $177.55	Facility		$142.04	$142.04	$177.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.87 / $158.87 / $162.28	Professional		$136.87	$158.87	$162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.21 / $144.21 / $144.21	Facility		$144.21	$144.21	$144.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $144.21 / $144.21	Professional		$144.21	$144.21	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.93 / $150.31 / $579.60	Facility		$145.93	$150.31	$579.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $269.14 / $376.88	Facility		$168.21	$269.14	$376.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $168.21 / $229.48	Professional		$168.21	$168.21	$229.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.54 / $163.54 / $163.54	Facility		$163.54	$163.54	$163.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $163.54 / $177.56	Professional		$163.54	$163.54	$177.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $201.01 / $646.75	Facility		$190.53	$201.01	$646.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.31 / $150.31 / $597.00	Facility		$150.31	$150.31	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $174.44 / $224.99	Professional		$71.00	$174.44	$224.99
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $183.79 / $226.43	Professional		$155.75	$183.79	$226.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.54 / $163.54 / $163.54	Facility		$163.54	$163.54	$163.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $163.54 / $177.56	Professional		$163.54	$163.54	$177.56