Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $161.31 / $298.58	Facility		$136.22	$161.31	$298.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $175.27 / $233.69	Professional		$136.22	$175.27	$233.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.68 / $378.09 / $741.36	Facility		$370.68	$378.09	$741.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $224.02 / $597.01	Professional		$224.02	$224.02	$597.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $308.82 / $308.82	Facility		$287.20	$308.82	$308.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $308.82 / $308.82 / $308.82	Professional		$308.82	$308.82	$308.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $239.78	Professional		$175.04	$175.04	$239.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $370.68 / $834.03	Facility		$319.00	$370.68	$834.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $274.30 / $667.22	Professional		$191.40	$274.30	$667.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $222.85 / $265.81	Professional		$101.00	$222.85	$265.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.67 / $300.67 / $300.67	Professional		$300.67	$300.67	$300.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $555.00	Facility		$239.78	$239.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $220.83 / $537.19	Professional		$175.04	$220.83	$537.19
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $222.41 / $319.49	Professional		$123.28	$222.41	$319.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $222.85 / $222.85 / $231.58	Facility		$222.85	$222.85	$231.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $222.85 / $236.79	Professional		$101.00	$222.85	$236.79