Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $99.37 / $400.59	Facility		$48.81	$99.37	$400.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $125.54 / $209.35	Professional		$77.73	$125.54	$209.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $232.89 / $456.64	Facility		$228.32	$232.89	$456.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $353.90	Professional		$127.31	$127.31	$353.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $176.91 / $190.23 / $190.23	Facility		$176.91	$190.23	$190.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.23 / $190.23 / $190.23	Professional		$190.23	$190.23	$190.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $190.85	Professional		$95.33	$130.59	$190.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $332.00 / $513.72	Facility		$228.32	$332.00	$513.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $168.96 / $410.98	Professional		$132.06	$168.96	$410.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $165.07 / $165.07	Facility		$165.07	$165.07	$165.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $145.87 / $190.23	Professional		$137.29	$145.87	$190.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $53.00 / $409.11	Facility		$51.47	$53.00	$409.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.21 / $185.21 / $185.21	Professional		$185.21	$185.21	$185.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $555.00	Facility		$130.59	$130.59	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $159.25 / $271.13	Professional		$95.33	$159.25	$271.13
United Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $117.35 / $208.99	Professional		$75.94	$117.35	$208.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $137.29 / $137.29	Facility		$122.06	$137.29	$137.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $137.29 / $165.07	Professional		$137.29	$137.29	$165.07