Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.08 / $701.63 / $1,212.05	Facility		$325.08	$701.63	$1,212.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $354.26 / $639.05	Professional		$220.89	$354.26	$639.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $1,083.63	Facility		$416.78	$416.78	$1,083.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $319.89 / $1,089.04	Professional		$205.82	$319.89	$1,089.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $416.78 / $416.78	Facility		$250.07	$416.78	$416.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $304.25 / $416.78 / $416.78	Professional		$304.25	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.57 / $880.46 / $1,112.13	Facility		$509.57	$880.46	$1,112.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.51 / $708.02 / $1,559.20	Professional		$313.51	$708.02	$1,559.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $416.78 / $937.76	Facility		$332.00	$416.78	$937.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $437.62 / $779.38	Professional		$291.75	$437.62	$779.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $416.78 / $755.74	Professional		$354.26	$416.78	$755.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $601.73 / $1,389.46	Facility		$30.60	$601.73	$1,389.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $910.55 / $1,112.13	Facility		$254.50	$910.55	$1,112.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $662.34 / $1,344.21	Professional		$333.42	$662.34	$1,344.21
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $671.77	Professional		$175.05	$250.07	$671.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $479.29 / $479.29 / $725.53	Facility		$479.29	$479.29	$725.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $436.94 / $831.79	Professional		$354.26	$436.94	$831.79