Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $422.90 / $939.31	Facility		$312.02	$422.90	$939.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $313.68 / $753.00	Professional		$312.02	$313.68	$753.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.94 / $250.94 / $313.68	Facility		$250.94	$250.94	$313.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.80 / $422.19 / $462.84	Professional		$328.80	$422.19	$462.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $341.95 / $341.95 / $341.95	Facility		$341.95	$341.95	$341.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $341.95 / $341.95 / $341.95	Professional		$341.95	$341.95	$341.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $295.92 / $486.76	Facility		$295.92	$295.92	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $469.38 / $751.01	Facility		$295.92	$469.38	$751.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $469.38 / $539.79	Professional		$313.68	$469.38	$539.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.34 / $456.34 / $456.34	Facility		$456.34	$456.34	$456.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $456.34 / $456.34	Professional		$313.68	$456.34	$456.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.04 / $449.75 / $764.03	Facility		$318.04	$449.75	$764.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $416.44 / $597.00	Facility		$295.92	$416.44	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $308.93 / $444.68 / $486.76	Professional		$308.93	$444.68	$486.76
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $402.25 / $529.09	Professional		$340.89	$402.25	$529.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.53 / $456.34 / $456.34	Facility		$169.53	$456.34	$456.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $225.73 / $456.34	Professional		$169.53	$225.73	$456.34