Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.19 / $364.81 / $201,870.48	Facility		$225.19	$364.81	$201,870.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $524.99	Professional		$225.11	$227.36	$524.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $180.09 / $225.11	Facility		$180.09	$180.09	$225.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.88 / $225.11 / $226.28	Professional		$221.88	$225.11	$226.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $224.63 / $224.63 / $235.86	Facility		$224.63	$224.63	$235.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $224.63 / $224.63 / $224.63	Professional		$224.63	$224.63	$224.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $239.85	Facility		$212.37	$212.37	$239.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $276.08 / $477.83	Facility		$212.37	$276.08	$477.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.49 / $214.49 / $290.95	Professional		$214.49	$214.49	$290.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Facility		$225.11	$225.11	$225.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.29 / $312.11 / $370.66	Facility		$261.29	$312.11	$370.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $555.00	Facility		$212.37	$212.37	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $321.57	Professional		$225.11	$225.11	$321.57
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $315.45	Professional		$225.11	$225.11	$315.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Facility		$225.11	$225.11	$225.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11