Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.09 / $272.45	Facility		$79.43	$147.09	$272.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.25 / $213.39	Professional		$79.43	$128.25	$213.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $237.97 / $466.60	Facility		$233.30	$237.97	$466.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $114.05 / $347.85	Professional		$114.05	$114.05	$347.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.77 / $194.38 / $194.38	Facility		$180.77	$194.38	$194.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.38 / $194.38 / $194.38	Professional		$194.38	$194.38	$194.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $153.72	Professional		$111.36	$111.36	$153.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $332.00 / $524.92	Facility		$233.30	$332.00	$524.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $172.64 / $419.94	Professional		$120.48	$172.64	$419.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.19 / $115.19 / $115.19	Facility		$115.19	$115.19	$115.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $136.27 / $167.31	Professional		$115.19	$136.27	$167.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $189.25 / $189.25	Professional		$189.25	$189.25	$189.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $153.72 / $555.00	Facility		$152.55	$153.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $307.61	Professional		$111.36	$152.55	$307.61
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $119.90 / $213.54	Professional		$77.59	$119.90	$213.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $136.27 / $158.11	Facility		$136.27	$136.27	$158.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $136.27 / $144.79	Professional		$115.19	$136.27	$144.79