Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $175.51 / $324.87	Facility		$148.19	$175.51	$324.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $191.31 / $254.25	Professional		$148.19	$191.31	$254.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $411.36 / $806.58	Facility		$403.29	$411.36	$806.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $708.99	Professional		$321.33	$321.33	$708.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $312.48 / $336.00 / $336.00	Facility		$312.48	$336.00	$336.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $336.00 / $336.00	Professional		$336.00	$336.00	$336.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $403.29 / $907.40	Facility		$319.00	$403.29	$907.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $298.43 / $725.92	Professional		$208.25	$298.43	$725.92
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 / $242.46 / $289.20	Professional		$101.00	$242.46	$289.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.13 / $327.13 / $327.13	Professional		$327.13	$327.13	$327.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $597.00	Facility		$260.88	$260.88	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $240.26 / $584.53	Professional		$190.44	$240.26	$584.53
United Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $241.97 / $368.86	Professional		$134.13	$241.97	$368.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $242.46 / $242.46 / $251.96	Facility		$242.46	$242.46	$251.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $242.46 / $257.61	Professional		$101.00	$242.46	$257.61