Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $293.69 / $592.37	Facility		$182.44	$293.69	$592.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $189.74 / $488.00	Professional		$182.45	$189.74	$488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.96 / $145.96 / $182.45	Facility		$145.96	$145.96	$182.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $278.36	Professional		$182.45	$182.45	$278.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $166.77 / $175.11	Facility		$166.77	$166.77	$175.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $166.77 / $166.77	Professional		$166.77	$166.77	$166.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $172.12 / $216.21	Facility		$172.12	$172.12	$216.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $240.97 / $387.27	Facility		$172.12	$240.97	$387.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $197.94 / $352.80	Professional		$197.94	$197.94	$352.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $189.33	Facility		$182.45	$182.45	$189.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $189.33	Professional		$182.45	$182.45	$189.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.32 / $313.63 / $615.60	Facility		$185.32	$313.63	$615.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $172.12 / $555.00	Facility		$172.12	$172.12	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $182.45 / $273.14	Professional		$29.00	$182.45	$273.14
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $328.84	Professional		$182.45	$182.45	$328.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $189.33 / $189.33 / $189.33	Facility		$189.33	$189.33	$189.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $182.45 / $189.33	Professional		$86.02	$182.45	$189.33