Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $635.07	Facility		$140.75	$140.75	$635.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $298.39	Professional		$140.75	$140.75	$298.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.60 / $112.60 / $140.75	Facility		$112.60	$112.60	$140.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $147.37 / $241.23	Professional		$126.68	$147.37	$241.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $140.76 / $140.76 / $140.76	Facility		$140.76	$140.76	$140.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $140.76 / $140.76	Professional		$140.76	$140.76	$140.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $147.01 / $560.97	Facility		$142.72	$147.01	$560.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $239.00 / $332.00	Facility		$140.75	$239.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $155.77 / $181.91	Professional		$155.77	$155.77	$181.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $151.69 / $151.69	Facility		$151.69	$151.69	$151.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $151.69 / $151.69	Professional		$140.75	$151.69	$151.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.79 / $155.79 / $155.79	Facility		$155.79	$155.79	$155.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.01 / $147.01 / $597.00	Facility		$147.01	$147.01	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $161.82 / $204.09	Professional		$100.00	$161.82	$204.09
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $170.49 / $221.05	Professional		$144.47	$170.49	$221.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.74 / $151.69 / $151.69	Facility		$105.74	$151.69	$151.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $110.25 / $151.69	Professional		$105.74	$110.25	$151.69