Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $116.46 / $205.55	Facility		$55.57	$116.46	$205.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $130.07 / $382.73	Professional		$81.25	$130.07	$382.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $272.97 / $535.24	Facility		$267.62	$272.97	$535.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $414.78	Professional		$148.53	$148.53	$414.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.36 / $222.97 / $222.97	Facility		$207.36	$222.97	$222.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $222.97 / $222.97	Professional		$222.97	$222.97	$222.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $218.41	Professional		$98.55	$135.00	$218.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $332.00 / $602.15	Facility		$267.62	$332.00	$602.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $198.04 / $481.72	Professional		$143.86	$198.04	$481.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $179.82 / $179.82	Facility		$179.82	$179.82	$179.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $170.95 / $215.78	Professional		$160.88	$170.95	$215.78
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $120.48 / $120.48	Professional		$120.48	$120.48	$120.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $217.08 / $217.08	Professional		$217.08	$217.08	$217.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $555.00	Facility		$135.00	$135.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $317.63	Professional		$98.55	$135.00	$317.63
United Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $141.22 / $244.94	Professional		$89.01	$141.22	$244.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $160.88 / $168.00	Facility		$160.88	$160.88	$168.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $160.88 / $179.82	Professional		$160.88	$160.88	$179.82