Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.55 / $198.84 / $476.77	Facility		$155.55	$198.84	$476.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $243.18 / $288.06	Professional		$155.55	$243.18	$288.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.91 / $466.05 / $913.82	Facility		$456.91	$466.05	$913.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $253.85 / $708.14	Professional		$253.85	$253.85	$708.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $354.02 / $380.67 / $380.67	Facility		$354.02	$380.67	$380.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $380.67 / $380.67	Professional		$380.67	$380.67	$380.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $350.29	Professional		$230.48	$230.48	$350.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $456.91 / $1,028.05	Facility		$319.00	$456.91	$1,028.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.93 / $342.68 / $822.44	Professional		$235.93	$342.68	$822.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.33 / $235.33 / $235.33	Facility		$235.33	$235.33	$235.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $264.24 / $327.64	Professional		$235.33	$264.24	$327.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.61 / $370.61 / $370.61	Professional		$370.61	$370.61	$370.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $350.29 / $555.00	Facility		$315.73	$350.29	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $272.20 / $680.80	Professional		$230.48	$272.20	$680.80
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $237.21 / $417.90	Professional		$151.96	$237.21	$417.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $264.24 / $264.24 / $285.45	Facility		$264.24	$264.24	$285.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $264.24 / $280.75	Professional		$235.33	$264.24	$280.75