Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.71 / $862.73 / $1,675.37	Facility		$440.71	$862.73	$1,675.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $539.54 / $675.00	Professional		$238.56	$539.54	$675.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $556.60 / $1,447.16	Facility		$556.60	$556.60	$1,447.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $222.64 / $957.35	Professional		$222.64	$222.64	$957.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $333.96 / $556.60 / $556.60	Facility		$333.96	$556.60	$556.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $556.60	Professional		$556.60	$556.60	$556.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.65 / $1,175.82 / $1,485.64	Facility		$680.65	$1,175.82	$1,485.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.80 / $864.43 / $1,806.02	Professional		$337.80	$864.43	$1,806.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $332.00 / $1,252.34	Facility		$178.00	$332.00	$1,252.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.62 / $580.70 / $1,040.83	Professional		$389.62	$580.70	$1,040.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.25 / $328.25 / $328.25	Facility		$328.25	$328.25	$328.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.25 / $528.77 / $655.12	Professional		$328.25	$528.77	$655.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.27 / $490.31 / $1,410.31	Facility		$171.27	$490.31	$1,410.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,175.82 / $1,485.64	Facility		$254.50	$1,175.82	$1,485.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.77 / $667.92 / $1,526.84	Professional		$327.77	$667.92	$1,526.84
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.96 / $873.78	Professional		$233.77	$333.96	$873.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $590.00 / $590.00	Facility		$590.00	$590.00	$590.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $419.25 / $556.60 / $655.12	Professional		$419.25	$556.60	$655.12