Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,318.26	Facility		$489.78	$645.65	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $676.08	Professional		$489.78	$489.78	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Facility		$489.78	$489.78	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Facility		$478.63	$478.63	$501.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $741.31	Facility		$467.74	$467.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $2,089.30	Professional		$489.78	$489.78	$2,089.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $602.56 / $1,698.24	Facility		$467.74	$602.56	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $602.56	Professional		$501.19	$501.19	$602.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Facility		$501.19	$501.19	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Professional		$501.19	$501.19	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $707.95	Professional		$489.78	$549.54	$707.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Facility		$501.19	$501.19	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $602.56	Professional		$501.19	$512.86	$602.56