Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.04 / $456.41 / $844.83	Facility		$357.04	$456.41	$844.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $458.24 / $661.20	Professional		$357.04	$458.24	$661.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.77 / $1,069.75 / $2,097.54	Facility		$1,048.77	$1,069.75	$2,097.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.11 / $562.11 / $1,616.46	Professional		$562.11	$562.11	$1,616.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.62 / $873.78 / $873.78	Facility		$812.62	$873.78	$873.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $873.78 / $873.78 / $873.78	Professional		$873.78	$873.78	$873.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $741.34	Professional		$507.65	$507.65	$741.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,048.77 / $2,359.73	Facility		$319.00	$1,048.77	$2,359.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $541.54 / $776.09 / $1,887.79	Professional		$541.54	$776.09	$1,887.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.18 / $404.18 / $404.18	Facility		$404.18	$404.18	$404.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.18 / $630.53 / $752.08	Professional		$404.18	$630.53	$752.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.20 / $983.20 / $983.20	Facility		$983.20	$983.20	$983.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $695.41 / $1,048.77	Facility		$597.00	$695.41	$1,048.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $648.20 / $1,382.78	Professional		$507.65	$648.20	$1,382.78
United Facility/Professional Professional Modifier Low / Median / High Price $348.82 / $553.47 / $959.24	Professional		$348.82	$553.47	$959.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.53 / $630.53 / $700.77	Facility		$630.53	$630.53	$700.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $404.18 / $630.53 / $669.94	Professional		$404.18	$630.53	$669.94