Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.19 / $903.21 / $1,987.94	Facility		$733.19	$903.21	$1,987.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.19 / $881.96 / $903.21	Professional		$733.19	$881.96	$903.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.23 / $572.23 / $715.29	Facility		$572.23	$572.23	$715.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.87 / $885.50 / $885.50	Professional		$780.87	$885.50	$885.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $619.79 / $6,500.00	Facility		$619.79	$619.79	$6,500.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $619.79 / $619.79	Professional		$619.79	$619.79	$619.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.10 / $447.13 / $903.21	Facility		$434.10	$447.13	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,083.84 / $3,406.97	Facility		$319.00	$1,083.84	$3,406.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $767.73 / $903.21 / $903.21	Professional		$767.73	$903.21	$903.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $938.63 / $938.63	Facility		$903.21	$938.63	$938.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $938.63 / $938.63	Professional		$903.21	$938.63	$938.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.21 / $980.21 / $980.21	Facility		$980.21	$980.21	$980.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $447.13 / $447.13 / $903.21	Facility		$447.13	$447.13	$903.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,305.74	Professional		$885.50	$885.50	$1,305.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $943.50	Facility		$903.21	$903.21	$943.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $943.50	Professional		$903.21	$903.21	$943.50