Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $113.51 / $210.12	Facility		$88.80	$113.51	$210.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $150.75 / $167.69	Professional		$88.80	$150.75	$167.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.83 / $266.06 / $521.67	Facility		$260.83	$266.06	$521.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $157.80 / $420.53	Professional		$157.80	$157.80	$420.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $202.11 / $217.32 / $217.32	Facility		$202.11	$217.32	$217.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $217.32 / $217.32	Professional		$217.32	$217.32	$217.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.83 / $332.00 / $586.89	Facility		$260.83	$332.00	$586.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $195.63 / $469.51	Professional		$134.69	$195.63	$469.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $95.95 / $95.95	Facility		$95.95	$95.95	$95.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $156.81 / $187.05	Professional		$95.95	$156.81	$187.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $211.57 / $211.57	Professional		$211.57	$211.57	$211.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $555.00	Facility		$190.78	$190.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $155.38 / $388.65	Professional		$139.27	$155.38	$388.65
United Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $150.38 / $231.80	Professional		$86.76	$150.38	$231.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $156.81 / $162.96	Facility		$156.81	$156.81	$162.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $156.81 / $166.61	Professional		$95.95	$156.81	$166.61