Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $437.67 / $1,072.69	Facility		$208.53	$437.67	$1,072.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $222.77 / $343.80	Professional		$191.13	$222.77	$343.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $669.37	Facility		$257.45	$257.45	$669.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $176.28 / $692.47	Professional		$127.14	$176.28	$692.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $257.45 / $257.45	Facility		$154.47	$257.45	$257.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $257.45 / $257.45	Professional		$187.94	$257.45	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.94 / $628.30 / $2,766.71	Facility		$314.94	$628.30	$2,766.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $416.40 / $980.15	Professional		$191.52	$416.40	$980.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $355.30 / $614.66	Facility		$257.45	$355.30	$614.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $268.60 / $481.43	Professional		$180.22	$268.60	$481.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Facility		$257.45	$257.45	$257.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $257.45 / $459.18	Professional		$244.58	$257.45	$459.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $321.81 / $323.23	Facility		$224.00	$321.81	$323.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.01 / $628.30 / $3,074.12	Facility		$251.01	$628.30	$3,074.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.60 / $415.17 / $830.85	Professional		$206.60	$415.17	$830.85
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $491.00	Professional		$108.13	$154.47	$491.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $296.06 / $948.28	Facility		$296.06	$296.06	$948.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $296.06 / $684.15	Professional		$244.58	$296.06	$684.15