Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.36 / $134.68 / $258.58	Facility		$105.36	$134.68	$258.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $180.30 / $202.02	Professional		$105.36	$180.30	$202.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.48 / $315.67 / $618.96	Facility		$309.48	$315.67	$618.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $186.65 / $497.42	Professional		$186.65	$186.65	$497.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.79 / $257.83 / $257.83	Facility		$239.79	$257.83	$257.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $257.83 / $257.83	Professional		$257.83	$257.83	$257.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $244.45	Professional		$157.99	$157.99	$244.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.48 / $346.00 / $696.33	Facility		$309.48	$346.00	$696.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $232.11 / $557.05	Professional		$159.81	$232.11	$557.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.30 / $131.30 / $131.30	Facility		$131.30	$131.30	$131.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $178.97 / $221.92	Professional		$131.30	$178.97	$221.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $295.20 / $309.42	Facility		$295.20	$295.20	$309.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $251.03 / $251.03	Professional		$251.03	$251.03	$251.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $244.45 / $555.00	Facility		$216.42	$244.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $184.37 / $431.65	Professional		$157.99	$184.37	$431.65
United Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $153.02 / $164.30	Facility		$116.29	$153.02	$164.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $166.54 / $283.06	Professional		$102.93	$166.54	$283.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.43 / $178.97 / $178.97	Facility		$165.43	$178.97	$178.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $178.97 / $190.16	Professional		$131.30	$178.97	$190.16