Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.32 / $260.19 / $415.58	Facility		$171.32	$260.19	$415.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $217.53 / $447.33	Professional		$174.19	$217.53	$447.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $219.18 / $471.24	Professional		$176.50	$219.18	$471.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $332.77 / $332.77 / $332.77	Facility		$332.77	$332.77	$332.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $332.77 / $332.77	Professional		$332.77	$332.77	$332.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $346.54 / $685.26	Professional		$194.07	$346.54	$685.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $181.20 / $355.66	Facility		$151.00	$181.20	$355.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $317.73 / $486.69	Professional		$237.15	$317.73	$486.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.55 / $215.55 / $215.55	Facility		$215.55	$215.55	$215.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $269.02 / $493.31	Professional		$196.91	$269.02	$493.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.92 / $475.92 / $475.92	Professional		$475.92	$475.92	$475.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $555.00	Facility		$264.67	$264.67	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $332.62 / $622.79	Professional		$196.05	$332.62	$622.79
United Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $256.11 / $528.90	Professional		$168.86	$256.11	$528.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $215.55 / $215.55 / $215.55	Facility		$215.55	$215.55	$215.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $311.55 / $566.29	Professional		$196.91	$311.55	$566.29