Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $168.98 / $201.86	Professional		$87.57	$168.98	$201.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.17 / $509.00 / $565.55	Facility		$424.17	$509.00	$565.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $120.73 / $451.45	Professional		$92.35	$120.73	$451.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $235.60 / $235.60	Facility		$219.11	$235.60	$235.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $235.60 / $235.60	Professional		$235.60	$235.60	$235.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.75 / $289.75 / $289.75	Facility		$289.75	$289.75	$289.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.92 / $381.75 / $613.63	Professional		$296.92	$381.75	$613.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $161.91 / $161.91	Facility		$161.91	$161.91	$161.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $161.91 / $161.91	Professional		$161.91	$161.91	$161.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $236.69 / $236.69	Professional		$236.69	$236.69	$236.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $289.75 / $555.00 / $597.00	Facility		$289.75	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $489.23	Professional		$101.80	$101.80	$489.23
United Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $141.08 / $242.54	Professional		$94.05	$141.08	$242.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $176.67 / $282.77	Professional		$161.91	$176.67	$282.77