Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $466.55 / $781.48	Facility		$390.74	$466.55	$781.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $527.50	Professional		$392.06	$392.06	$527.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.64 / $313.64 / $392.06	Facility		$313.64	$313.64	$392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.16 / $392.06 / $429.97	Professional		$315.16	$392.06	$429.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $341.50 / $341.50 / $358.58	Facility		$341.50	$341.50	$358.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $341.50 / $341.50 / $341.50	Professional		$341.50	$341.50	$341.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.28 / $369.87 / $392.06	Facility		$345.28	$369.87	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $425.35 / $832.21	Facility		$319.00	$425.35	$832.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $425.35 / $506.72	Professional		$425.35	$425.35	$506.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $392.06 / $406.86	Facility		$392.06	$392.06	$406.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $406.86	Professional		$392.06	$392.06	$406.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $490.08 / $490.08	Facility		$490.08	$490.08	$490.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $345.28 / $369.87 / $555.00	Facility		$345.28	$369.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $392.06 / $539.62	Professional		$31.00	$392.06	$539.62
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $549.41	Professional		$392.06	$392.06	$549.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $406.86 / $406.86 / $406.86	Facility		$406.86	$406.86	$406.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $392.06 / $406.86	Professional		$93.70	$392.06	$406.86