Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $203.68 / $601.04	Facility		$124.43	$203.68	$601.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $201.85 / $404.00	Professional		$142.00	$201.85	$404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $219.82 / $219.82	Professional		$187.08	$219.82	$219.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $162.01 / $162.01 / $178.21	Facility		$162.01	$162.01	$178.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $162.01 / $162.01	Professional		$162.01	$162.01	$162.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.89 / $192.50 / $705.60	Facility		$186.89	$192.50	$705.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $232.75 / $232.75 / $377.06	Facility		$232.75	$232.75	$377.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $232.75 / $232.75	Professional		$232.75	$232.75	$232.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.40 / $141.40 / $141.40	Facility		$141.40	$141.40	$141.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.40 / $169.68 / $226.28	Professional		$141.40	$169.68	$226.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.74 / $261.22 / $412.50	Facility		$232.74	$261.22	$412.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $272.85 / $284.47	Professional		$261.22	$272.85	$284.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $192.50 / $705.60	Facility		$192.50	$192.50	$705.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $241.37	Professional		$140.00	$140.00	$241.37
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $254.30 / $313.30	Professional		$215.51	$254.30	$313.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $226.28 / $226.28	Facility		$226.28	$226.28	$226.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $226.28 / $245.68	Professional		$226.28	$226.28	$245.68