Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.28 / $174.21 / $322.45	Facility		$136.28	$174.21	$322.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $178.52 / $252.37	Professional		$136.28	$178.52	$252.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.31 / $408.32 / $800.62	Facility		$400.31	$408.32	$800.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $242.52 / $646.30	Professional		$242.52	$242.52	$646.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $310.16 / $333.51 / $333.51	Facility		$310.16	$333.51	$333.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $333.51 / $333.51 / $333.51	Professional		$333.51	$333.51	$333.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $252.60	Professional		$184.40	$184.40	$252.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $400.31 / $900.70	Facility		$319.00	$400.31	$900.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.71 / $296.23 / $720.56	Professional		$206.71	$296.23	$720.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.33 / $184.33 / $184.33	Facility		$184.33	$184.33	$184.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $240.67 / $287.06	Professional		$184.33	$240.67	$287.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $324.70 / $324.70	Professional		$324.70	$324.70	$324.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $555.00	Facility		$252.60	$252.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $214.65 / $620.48	Professional		$184.40	$214.65	$620.48
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $216.35 / $366.14	Professional		$133.13	$216.35	$366.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.67 / $240.67 / $250.10	Facility		$240.67	$240.67	$250.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $240.67 / $255.71	Professional		$184.33	$240.67	$255.71