Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $211.57 / $1,042.98	Facility		$103.83	$211.57	$1,042.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $236.29 / $425.71	Professional		$165.50	$236.29	$425.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.17 / $495.89 / $972.34	Facility		$486.17	$495.89	$972.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $776.26	Professional		$291.27	$291.27	$776.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $376.70 / $405.05 / $405.05	Facility		$376.70	$405.05	$405.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $405.05 / $405.05	Professional		$405.05	$405.05	$405.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $278.04 / $399.82	Professional		$202.97	$278.04	$399.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $486.17 / $1,093.88	Facility		$319.00	$486.17	$1,093.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $359.77 / $875.11	Professional		$281.14	$359.77	$875.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.43 / $351.43 / $351.43	Facility		$351.43	$351.43	$351.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.43 / $527.70 / $560.67	Professional		$351.43	$527.70	$560.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $251.30 / $551.41	Facility		$251.30	$251.30	$551.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $586.85	Facility		$278.04	$278.04	$586.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $300.47 / $577.50	Professional		$202.97	$300.47	$577.50
United Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $220.01 / $290.45	Facility		$167.20	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $249.83 / $444.96	Professional		$161.69	$249.83	$444.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $527.70 / $527.70 / $527.70	Facility		$527.70	$527.70	$527.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $351.43 / $527.70 / $560.67	Professional		$351.43	$527.70	$560.67