Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $118.45 / $219.26	Facility		$100.03	$118.45	$219.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $118.45 / $171.60	Professional		$98.64	$118.45	$171.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.19 / $277.63 / $544.38	Facility		$272.19	$277.63	$544.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $123.82 / $397.61	Professional		$123.82	$123.82	$397.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $226.78 / $226.78	Facility		$210.91	$226.78	$226.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $226.78 / $226.78	Professional		$226.78	$226.78	$226.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $272.19 / $332.00 / $612.42	Facility		$272.19	$332.00	$612.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $195.98 / $489.94	Professional		$140.55	$195.98	$489.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.10 / $187.10 / $187.10	Facility		$187.10	$187.10	$187.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $173.88 / $224.52	Professional		$163.65	$173.88	$224.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $220.79 / $220.79	Professional		$220.79	$220.79	$220.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $555.00	Facility		$170.15	$170.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $162.16 / $349.22	Professional		$124.21	$162.16	$349.22
United Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $152.69 / $244.97	Professional		$90.53	$152.69	$244.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $163.65 / $170.05	Facility		$163.65	$163.65	$170.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $163.65 / $187.10	Professional		$163.65	$163.65	$187.10