Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $183.45 / $339.57	Facility		$154.91	$183.45	$339.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $229.76 / $265.77	Professional		$154.91	$229.76	$265.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.54 / $429.97 / $843.08	Facility		$421.54	$429.97	$843.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $240.07 / $664.99	Professional		$240.07	$240.07	$664.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.63 / $351.21 / $351.21	Facility		$326.63	$351.21	$351.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $351.21 / $351.21 / $351.21	Professional		$351.21	$351.21	$351.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $306.16	Professional		$223.50	$223.50	$306.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $421.54 / $948.47	Facility		$319.00	$421.54	$948.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $316.16 / $758.77	Professional		$217.68	$316.16	$758.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.10 / $212.10 / $212.10	Facility		$212.10	$212.10	$212.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $253.44 / $302.29	Professional		$212.10	$253.44	$302.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $341.94 / $341.94	Professional		$341.94	$341.94	$341.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $555.00	Facility		$306.16	$306.16	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $251.16 / $628.09	Professional		$223.50	$251.16	$628.09
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $262.42 / $385.56	Professional		$140.19	$262.42	$385.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $253.44 / $253.44 / $263.38	Facility		$253.44	$253.44	$263.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $253.44 / $269.27	Professional		$212.10	$253.44	$269.27