Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.42 / $746.04 / $1,192.56	Facility		$309.42	$746.04	$1,192.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $416.78 / $653.12	Professional		$303.64	$416.78	$653.12
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 / $320.08 / $1,128.63	Professional		$205.82	$320.08	$1,128.63
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 $509.53 / $880.46 / $1,112.13	Facility		$509.53	$880.46	$1,112.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $686.59 / $1,655.55	Professional		$320.45	$686.59	$1,655.55
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 $274.97 / $1,045.25 / $1,259.70	Facility		$274.97	$1,045.25	$1,259.70
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 $334.46 / $720.47 / $1,344.21	Professional		$334.46	$720.47	$1,344.21
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $654.28	Professional		$175.05	$250.07	$654.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $479.29 / $479.29 / $1,064.84	Facility		$479.29	$479.29	$1,064.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $436.94 / $1,107.55	Professional		$354.26	$436.94	$1,107.55