Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $125.27 / $231.87	Facility		$105.78	$125.27	$231.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $125.27 / $181.47	Professional		$105.78	$125.27	$181.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $293.60 / $575.67	Facility		$287.83	$293.60	$575.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $180.77 / $479.25	Professional		$180.77	$180.77	$479.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $239.81 / $239.81	Facility		$223.02	$239.81	$239.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $239.81 / $239.81	Professional		$239.81	$239.81	$239.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $170.64	Facility		$108.00	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $170.64	Professional		$124.57	$124.57	$170.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $332.00 / $647.64	Facility		$287.83	$332.00	$647.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $207.24 / $518.11	Professional		$148.63	$207.24	$518.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $182.44 / $182.44	Facility		$182.44	$182.44	$182.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $221.29 / $221.29	Professional		$182.44	$221.29	$221.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $233.49 / $233.49	Professional		$233.49	$233.49	$233.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $555.00	Facility		$108.00	$170.64	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $370.59	Professional		$124.57	$170.64	$370.59
United Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $163.47 / $242.87	Professional		$95.73	$163.47	$242.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $221.29 / $221.29	Facility		$179.84	$221.29	$221.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $221.29 / $221.29	Professional		$182.44	$221.29	$221.29