Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $168.93 / $312.70	Facility		$142.65	$168.93	$312.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $173.56 / $245.38	Professional		$142.65	$173.56	$245.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $395.95 / $776.38	Facility		$388.19	$395.95	$776.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.11 / $278.11 / $667.76	Professional		$278.11	$278.11	$667.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $300.77 / $323.42 / $323.42	Facility		$300.77	$323.42	$323.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $323.42 / $323.42 / $323.42	Professional		$323.42	$323.42	$323.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $301.92	Facility		$296.00	$296.00	$301.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $301.92	Professional		$216.08	$216.08	$301.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $388.19 / $873.43	Facility		$319.00	$388.19	$873.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $295.58 / $698.74	Professional		$229.03	$295.58	$698.74
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 / $298.42 / $298.42	Professional		$182.44	$298.42	$298.42
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $206.91 / $206.91	Professional		$206.91	$206.91	$206.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $314.88 / $314.88	Professional		$77.91	$314.88	$314.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $301.92 / $555.00	Facility		$296.00	$301.92	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.31 / $216.08 / $542.79	Professional		$178.31	$216.08	$542.79
United Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $249.63 / $351.29	Professional		$129.11	$249.63	$351.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $259.38 / $298.42 / $298.42	Facility		$259.38	$298.42	$298.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $298.42 / $298.42	Professional		$182.44	$298.42	$298.42