Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.93 / $146.32 / $615.19	Facility		$61.93	$146.32	$615.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $159.34 / $281.01	Professional		$98.68	$159.34	$281.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $295.66 / $579.72	Facility		$289.86	$295.66	$579.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $159.35 / $446.77	Professional		$159.35	$159.35	$446.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $224.60 / $241.50 / $241.50	Facility		$224.60	$241.50	$241.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $241.50 / $241.50	Professional		$241.50	$241.50	$241.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $238.16	Professional		$127.75	$175.00	$238.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $333.34 / $652.19	Facility		$289.86	$333.34	$652.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $214.50 / $521.75	Professional		$167.63	$214.50	$521.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $209.54 / $209.54	Facility		$209.54	$209.54	$209.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $185.17 / $241.50	Professional		$174.28	$185.17	$241.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.07 / $418.53 / $1,229.85	Facility		$300.07	$418.53	$1,229.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.12 / $235.12 / $235.12	Professional		$235.12	$235.12	$235.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $555.00	Facility		$175.00	$175.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $202.16 / $344.25	Professional		$127.75	$202.16	$344.25
United Facility/Professional Facility Modifier Low / Median / High Price $353.74 / $353.74 / $353.74	Facility		$353.74	$353.74	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $150.50 / $265.12	Professional		$96.41	$150.50	$265.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $174.28 / $174.28	Facility		$154.94	$174.28	$174.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $174.28 / $209.54	Professional		$174.28	$174.28	$209.54