Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.83 / $583.42 / $1,190.58	Facility		$147.83	$583.42	$1,190.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $175.07 / $253.62	Professional		$147.83	$175.07	$253.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $186.42 / $587.64	Professional		$186.42	$186.42	$587.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $335.16 / $335.16	Facility		$311.70	$335.16	$335.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $335.16 / $335.16	Professional		$335.16	$335.16	$335.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $402.29 / $905.15	Facility		$319.00	$402.29	$905.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.35 / $301.72 / $732.97	Professional		$237.35	$301.72	$732.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.86 / $256.97 / $335.16	Professional		$241.86	$256.97	$335.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.03 / $415.03 / $415.03	Facility		$415.03	$415.03	$415.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $555.00	Facility		$274.27	$274.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $248.63 / $594.38	Professional		$233.13	$248.63	$594.38
United Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $231.70 / $339.43	Professional		$133.80	$231.70	$339.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $241.86 / $241.86 / $251.34	Facility		$241.86	$241.86	$251.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $241.86 / $241.86 / $256.97	Professional		$241.86	$241.86	$256.97