Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $150.35 / $278.30	Facility		$117.61	$150.35	$278.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $184.26 / $223.78	Professional		$117.61	$184.26	$223.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.48 / $352.39 / $690.96	Facility		$345.48	$352.39	$690.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.09 / $210.09 / $559.88	Professional		$210.09	$210.09	$559.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $267.68 / $287.83 / $287.83	Facility		$267.68	$287.83	$287.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $287.83 / $287.83	Professional		$287.83	$287.83	$287.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $215.87	Professional		$157.59	$157.59	$215.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $777.33	Facility		$319.00	$346.00	$777.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $259.11 / $621.86	Professional		$178.39	$259.11	$621.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.40 / $141.40 / $141.40	Facility		$141.40	$141.40	$141.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.40 / $207.71 / $247.74	Professional		$141.40	$207.71	$247.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.23 / $280.23 / $280.23	Professional		$280.23	$280.23	$280.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $555.00	Facility		$215.87	$215.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $205.83 / $514.77	Professional		$157.59	$205.83	$514.77
United Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $185.92 / $316.73	Professional		$114.90	$185.92	$316.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.71 / $207.71 / $215.84	Facility		$207.71	$207.71	$215.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.40 / $207.71 / $220.69	Professional		$141.40	$207.71	$220.69