Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $482.67 / $842.75	Facility		$383.07	$482.67	$842.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $444.36	Professional		$391.06	$391.07	$444.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.86 / $312.86 / $391.07	Facility		$312.86	$312.86	$391.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.28 / $391.07 / $544.04	Professional		$337.28	$391.07	$544.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $325.02 / $341.28	Facility		$325.02	$325.02	$341.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $325.02 / $325.02	Professional		$325.02	$325.02	$325.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.33 / $368.93 / $376.31	Facility		$338.33	$368.93	$376.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $424.27	Professional		$391.07	$391.07	$424.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $424.27 / $830.09	Facility		$319.00	$424.27	$830.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $424.27 / $477.11	Professional		$405.82	$424.27	$477.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $398.45	Facility		$391.07	$391.07	$398.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $398.45 / $398.45	Professional		$391.07	$398.45	$398.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.65 / $542.65 / $542.65	Facility		$542.65	$542.65	$542.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.33 / $368.93 / $469.58	Facility		$338.33	$368.93	$469.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $460.78	Professional		$391.07	$391.07	$460.78
United Facility/Professional Professional Modifier Low / Median / High Price $376.31 / $409.87 / $524.03	Professional		$376.31	$409.87	$524.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.45 / $398.45 / $398.45	Facility		$398.45	$398.45	$398.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $398.45 / $398.45	Professional		$391.07	$398.45	$398.45