Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $238.43 / $48,298.96	Facility		$183.41	$238.43	$48,298.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.48 / $221.93	Professional		$183.47	$183.48	$221.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $146.78 / $183.48	Facility		$146.78	$146.78	$183.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.93 / $183.48 / $267.99	Professional		$167.93	$183.48	$267.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $160.69 / $160.69 / $168.74	Facility		$160.69	$160.69	$168.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $160.69 / $160.69	Professional		$160.69	$160.69	$160.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.26 / $173.09 / $181.09	Facility		$166.26	$173.09	$181.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $217.31	Professional		$183.48	$183.48	$217.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $250.00 / $389.45	Facility		$176.97	$250.00	$389.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $176.97 / $223.85	Professional		$176.97	$176.97	$223.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $183.48 / $186.94	Facility		$183.48	$183.48	$186.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $186.94 / $186.94	Professional		$183.48	$186.94	$186.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.97 / $173.97 / $173.97	Facility		$173.97	$173.97	$173.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.26 / $173.09 / $234.14	Facility		$166.26	$173.09	$234.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $224.64	Professional		$183.48	$183.48	$224.64
United Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $192.65 / $245.86	Professional		$172.75	$192.65	$245.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.94 / $186.94 / $186.94	Facility		$186.94	$186.94	$186.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $186.94 / $186.94	Professional		$183.48	$186.94	$186.94