Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $335.55 / $1,663.49	Facility		$169.74	$335.55	$1,663.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.40 / $335.55 / $574.98	Professional		$226.40	$335.55	$574.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $313.76 / $313.76	Professional		$268.77	$313.76	$313.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.04 / $284.32 / $1,032.53	Facility		$276.04	$284.32	$1,032.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $355.28 / $355.28 / $614.63	Facility		$355.28	$355.28	$614.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $355.28 / $355.28	Professional		$355.28	$355.28	$355.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.21 / $230.21 / $230.21	Facility		$230.21	$230.21	$230.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.21 / $276.25 / $345.54	Professional		$230.21	$276.25	$345.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.03 / $313.63 / $619.50	Facility		$132.03	$313.63	$619.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.88 / $405.88 / $405.88	Professional		$405.88	$405.88	$405.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $284.32 / $284.32 / $1,032.53	Facility		$284.32	$284.32	$1,032.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $187.10 / $368.58	Professional		$187.10	$187.10	$368.58
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $371.87 / $498.11	Professional		$329.09	$371.87	$498.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $345.54 / $345.54 / $345.54	Facility		$345.54	$345.54	$345.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $345.54 / $345.54 / $375.02	Professional		$345.54	$345.54	$375.02