Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.11 / $508.99 / $942.16	Facility		$405.11	$508.99	$942.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $508.99 / $670.27	Professional		$346.19	$508.99	$670.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.93 / $673.13 / $1,319.86	Facility		$659.93	$673.13	$1,319.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.57 / $686.57 / $1,757.70	Professional		$686.57	$686.57	$1,757.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $792.68 / $852.34 / $852.34	Facility		$792.68	$852.34	$852.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $852.34 / $852.34 / $852.34	Professional		$852.34	$852.34	$852.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $736.58	Professional		$537.70	$537.70	$736.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $659.93 / $1,484.84	Facility		$319.00	$659.93	$1,484.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $409.16 / $594.66 / $1,187.86	Professional		$409.16	$594.66	$1,187.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $693.44 / $693.44	Facility		$693.44	$693.44	$693.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $739.66 / $785.89	Professional		$693.44	$739.66	$785.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.35 / $742.35 / $742.35	Professional		$742.35	$742.35	$742.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $736.58 / $761.97	Facility		$597.00	$736.58	$761.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $1,388.15	Professional		$537.70	$537.70	$1,388.15
United Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $583.50 / $1,008.11	Professional		$389.00	$583.50	$1,008.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $739.66 / $739.66 / $739.66	Facility		$739.66	$739.66	$739.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $739.66 / $785.89	Professional		$693.44	$739.66	$785.89