Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $224.32 / $11,855.02	Facility		$172.55	$224.32	$11,855.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $208.79	Professional		$173.03	$173.03	$208.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $138.41 / $173.03	Facility		$138.41	$138.41	$173.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $173.03 / $207.05	Professional		$149.71	$173.03	$207.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $130.41 / $136.93	Facility		$130.41	$130.41	$136.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $130.41 / $130.41	Professional		$130.41	$130.41	$130.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.41 / $163.24 / $184.79	Facility		$131.41	$163.24	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $187.72	Professional		$173.03	$173.03	$187.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $179.56 / $250.00 / $367.29	Facility		$179.56	$250.00	$367.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $179.56 / $216.46	Professional		$179.56	$179.56	$216.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.66 / $195.66 / $196.38	Facility		$195.66	$195.66	$196.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $131.41 / $163.24 / $201.54	Facility		$131.41	$163.24	$201.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $198.55	Professional		$173.03	$173.03	$198.55
United Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $181.35 / $231.86	Professional		$169.57	$181.35	$231.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03