Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $280.92 / $614.79	Facility		$230.15	$280.92	$614.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $279.07	Professional		$230.15	$232.46	$279.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.12 / $184.12 / $230.15	Facility		$184.12	$184.12	$230.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $230.15 / $305.27	Professional		$215.38	$230.15	$305.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $198.75 / $198.75 / $208.69	Facility		$198.75	$198.75	$208.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $198.75 / $198.75	Professional		$198.75	$198.75	$198.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.82 / $217.13 / $230.15	Facility		$200.82	$217.13	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $282.27 / $488.54	Facility		$217.13	$282.27	$488.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $238.84 / $297.47	Professional		$238.84	$238.84	$297.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $230.15 / $234.50	Facility		$230.15	$230.15	$234.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $234.50	Professional		$230.15	$230.15	$234.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $145.41 / $145.41	Facility		$145.41	$145.41	$145.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.82 / $217.13 / $555.00	Facility		$200.82	$217.13	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.52 / $230.15 / $316.58	Professional		$223.52	$230.15	$316.58
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $345.23	Professional		$230.15	$230.15	$345.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.50 / $234.50 / $234.50	Facility		$234.50	$234.50	$234.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $230.15 / $234.50	Professional		$138.81	$230.15	$234.50