Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $275.86 / $16,472.24	Facility		$205.62	$275.86	$16,472.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $205.62 / $371.35	Professional		$203.58	$205.62	$371.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $162.86 / $203.58	Facility		$162.86	$162.86	$203.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $298.29	Professional		$203.58	$203.58	$298.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $206.56 / $206.56 / $216.89	Facility		$206.56	$206.56	$216.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $206.56 / $206.56 / $206.56	Professional		$206.56	$206.56	$206.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $217.54	Facility		$192.06	$192.06	$217.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $250.00 / $432.14	Facility		$192.06	$250.00	$432.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $211.27 / $278.92	Professional		$211.27	$211.27	$278.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.04 / $158.04 / $203.58	Facility		$158.04	$158.04	$203.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $189.65 / $203.58	Professional		$158.04	$189.65	$203.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.41 / $203.45 / $239.31	Facility		$203.41	$203.45	$239.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $555.00	Facility		$192.06	$192.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $305.70	Professional		$203.58	$203.58	$305.70
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $317.87	Professional		$203.58	$215.79	$317.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Facility		$203.58	$203.58	$203.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $203.58 / $203.58	Professional		$111.06	$203.58	$203.58