Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $210.36 / $389.40	Facility		$167.46	$210.36	$389.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $211.21 / $283.75	Professional		$155.02	$211.21	$283.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $278.27 / $545.62	Facility		$272.81	$278.27	$545.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.76 / $283.76 / $724.28	Professional		$283.76	$283.76	$724.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $327.66 / $352.32 / $352.32	Facility		$327.66	$352.32	$352.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $352.32 / $352.32 / $352.32	Professional		$352.32	$352.32	$352.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $314.97	Professional		$220.10	$220.10	$314.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $332.00 / $613.82	Facility		$272.81	$332.00	$613.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $245.77 / $491.06	Professional		$169.14	$245.77	$491.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.60 / $286.60 / $286.60	Facility		$286.60	$286.60	$286.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.60 / $305.70 / $324.81	Professional		$286.60	$305.70	$324.81
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $186.29 / $186.29	Professional		$186.29	$186.29	$186.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.87 / $306.87 / $306.87	Professional		$306.87	$306.87	$306.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $301.51 / $555.00	Facility		$272.81	$301.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $298.77 / $441.56	Professional		$220.10	$298.77	$441.56
United Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $241.17 / $416.66	Professional		$160.78	$241.17	$416.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $305.70 / $305.70 / $305.70	Facility		$305.70	$305.70	$305.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $286.60 / $305.70 / $324.81	Professional		$286.60	$305.70	$324.81