Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.18 / $508.99 / $942.16	Facility		$398.18	$508.99	$942.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $557.50 / $737.39	Professional		$398.18	$557.50	$737.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,169.59 / $1,192.99 / $2,339.19	Facility		$1,169.59	$1,192.99	$2,339.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.89 / $643.89 / $1,802.89	Professional		$643.89	$643.89	$1,802.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $906.24 / $974.45 / $974.45	Facility		$906.24	$974.45	$974.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $974.45 / $974.45 / $974.45	Professional		$974.45	$974.45	$974.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $736.69	Professional		$537.78	$537.78	$736.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,169.59 / $2,631.60	Facility		$319.00	$1,169.59	$2,631.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $628.71 / $865.50 / $2,105.28	Professional		$628.71	$865.50	$2,105.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.89 / $785.89 / $785.89	Facility		$785.89	$785.89	$785.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.19 / $747.13 / $943.07	Professional		$703.19	$747.13	$943.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,502.79 / $1,502.79 / $1,502.79	Facility		$1,502.79	$1,502.79	$1,502.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $736.69 / $1,169.59	Facility		$597.00	$736.69	$1,169.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $716.90 / $1,812.88	Professional		$537.78	$716.90	$1,812.88
United Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $617.24 / $1,069.75	Professional		$389.00	$617.24	$1,069.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $703.19 / $703.19 / $781.51	Facility		$703.19	$703.19	$781.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $703.19 / $703.19 / $785.89	Professional		$703.19	$703.19	$785.89