Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $266.69 / $493.97	Facility		$155.44	$266.69	$493.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $215.45 / $266.69	Professional		$155.44	$215.45	$266.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $431.46 / $846.00	Facility		$423.00	$431.46	$846.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $272.08 / $711.30	Professional		$272.08	$272.08	$711.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $327.75 / $352.42 / $352.42	Facility		$327.75	$352.42	$352.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $352.42 / $352.42 / $352.42	Professional		$352.42	$352.42	$352.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $293.77	Professional		$214.45	$214.45	$293.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $423.00 / $951.75	Facility		$319.00	$423.00	$951.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $317.25 / $761.40	Professional		$239.42	$317.25	$761.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.27 / $299.27 / $299.27	Facility		$299.27	$299.27	$299.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $270.20 / $352.42	Professional		$254.31	$270.20	$352.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Facility		$423.00	$423.00	$423.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.11 / $343.11 / $343.11	Professional		$343.11	$343.11	$343.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $557.89	Facility		$293.77	$293.77	$557.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $252.01 / $630.27	Professional		$214.45	$252.01	$630.27
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $257.00 / $386.89	Professional		$140.69	$257.00	$386.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.31 / $254.31 / $264.27	Facility		$254.31	$254.31	$264.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $254.31 / $299.27	Professional		$254.31	$254.31	$299.27