Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $241.60 / $865.36	Facility		$139.32	$241.60	$865.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $219.25 / $440.11	Professional		$147.83	$219.25	$440.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.26 / $442.95 / $868.52	Facility		$434.26	$442.95	$868.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $221.05 / $662.91	Professional		$221.05	$221.05	$662.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $336.47 / $361.80 / $361.80	Facility		$336.47	$361.80	$361.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $361.80 / $361.80	Professional		$361.80	$361.80	$361.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $331.95	Professional		$170.35	$233.36	$331.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $434.26 / $977.09	Facility		$319.00	$434.26	$977.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.13 / $325.70 / $781.67	Professional		$251.13	$325.70	$781.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.91 / $313.91 / $313.91	Facility		$313.91	$313.91	$313.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.91 / $498.35 / $529.49	Professional		$313.91	$498.35	$529.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.40 / $627.02 / $1,841.30	Facility		$418.40	$627.02	$1,841.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.23 / $352.23 / $352.23	Professional		$352.23	$352.23	$352.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $555.00	Facility		$233.36	$233.36	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $302.85 / $515.39	Professional		$170.35	$302.85	$515.39
United Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $216.65 / $398.13	Professional		$144.43	$216.65	$398.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $498.35 / $498.35 / $498.35	Facility		$498.35	$498.35	$498.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $313.91 / $498.35 / $529.49	Professional		$313.91	$498.35	$529.49