Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $292.95 / $661.12	Facility		$287.08	$292.95	$661.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $303.80 / $311.13	Professional		$252.56	$303.80	$311.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.59 / $253.59 / $316.99	Facility		$253.59	$253.59	$316.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $305.02 / $305.02	Professional		$274.00	$305.02	$305.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $258.80 / $258.80 / $284.68	Facility		$258.80	$258.80	$284.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $258.80 / $258.80	Professional		$258.80	$258.80	$258.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.89 / $280.06 / $311.13	Facility		$271.89	$280.06	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $347.73 / $782.39	Facility		$311.13	$347.73	$782.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $311.13 / $311.13	Professional		$264.45	$311.13	$311.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.12 / $323.33 / $323.33	Facility		$311.12	$323.33	$323.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.12 / $323.33 / $323.33	Professional		$311.12	$323.33	$323.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.14 / $352.14 / $352.14	Facility		$352.14	$352.14	$352.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $280.06 / $305.02 / $597.00	Facility		$280.06	$305.02	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $444.55	Professional		$305.02	$305.02	$444.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $311.12 / $311.12	Facility		$5.07	$311.12	$311.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $311.12 / $311.12 / $323.33	Professional		$311.12	$311.12	$323.33