Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $564.04 / $1,227.85	Facility		$98.01	$564.04	$1,227.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $148.66 / $191.14	Professional		$84.50	$148.66	$191.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $571.30 / $819.66	Professional		$458.55	$571.30	$819.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $280.10 / $280.10 / $280.10	Facility		$280.10	$280.10	$280.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $280.10 / $280.10	Professional		$280.10	$280.10	$280.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $229.40 / $663.41	Professional		$141.61	$229.40	$663.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.97 / $228.94 / $469.04	Facility		$144.97	$228.94	$469.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $165.52 / $250.11	Professional		$130.11	$165.52	$250.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $13.03 / $13.03	Facility		$13.03	$13.03	$13.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $149.44 / $245.91	Professional		$40.22	$149.44	$245.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.17 / $364.17 / $831.00	Facility		$364.17	$364.17	$831.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $597.00	Facility		$216.50	$216.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $189.80 / $559.85	Professional		$147.10	$189.80	$559.85
United Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $233.36 / $581.40	Professional		$101.27	$233.36	$581.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $135.57 / $135.57 / $368.49	Facility		$135.57	$135.57	$368.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $161.15 / $296.35	Professional		$94.79	$161.15	$296.35