Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $154.81 / $286.57	Facility		$130.72	$154.81	$286.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $195.80 / $224.29	Professional		$130.72	$195.80	$224.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.75 / $362.87 / $711.50	Facility		$355.75	$362.87	$711.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $214.69 / $572.14	Professional		$214.69	$214.69	$572.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.64 / $296.39 / $296.39	Facility		$275.64	$296.39	$296.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $296.39 / $296.39	Professional		$296.39	$296.39	$296.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $271.68	Professional		$198.33	$198.33	$271.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $355.75 / $800.44	Facility		$319.00	$355.75	$800.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $266.81 / $640.35	Professional		$183.70	$266.81	$640.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.22 / $224.22 / $224.22	Facility		$224.22	$224.22	$224.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $224.22 / $269.06	Professional		$213.87	$224.22	$269.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.56 / $288.56 / $288.56	Professional		$288.56	$288.56	$288.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $555.00	Facility		$271.68	$271.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $211.94 / $530.07	Professional		$198.33	$211.94	$530.07
United Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $213.45 / $320.18	Professional		$118.32	$213.45	$320.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.87 / $213.87 / $222.25	Facility		$213.87	$213.87	$222.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $213.87 / $227.24	Professional		$213.87	$213.87	$227.24