Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $171.04 / $411.52	Facility		$133.80	$171.04	$411.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $171.04 / $247.80	Professional		$128.80	$171.04	$247.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.04 / $400.90 / $786.08	Facility		$393.04	$400.90	$786.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $176.99 / $574.15	Professional		$176.99	$176.99	$574.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $304.54 / $327.45 / $327.45	Facility		$304.54	$327.45	$327.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $327.45	Professional		$327.45	$327.45	$327.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $393.04 / $884.34	Facility		$319.00	$393.04	$884.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $282.99 / $707.47	Professional		$202.96	$282.99	$707.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $237.35 / $237.35	Facility		$237.35	$237.35	$237.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $237.35 / $284.82	Professional		$236.30	$237.35	$284.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.81 / $318.81 / $318.81	Professional		$318.81	$318.81	$318.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $555.00	Facility		$190.69	$190.69	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $467.64	Professional		$139.19	$190.69	$467.64
United Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $196.09 / $353.74	Professional		$130.72	$196.09	$353.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.30 / $236.30 / $245.56	Facility		$236.30	$236.30	$245.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $236.30 / $251.07	Professional		$236.30	$236.30	$251.07