Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.21 / $525.36 / $972.47	Facility		$418.21	$525.36	$972.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.03 / $527.47 / $788.03	Professional		$428.03	$527.47	$788.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.32 / $694.95 / $1,362.64	Facility		$681.32	$694.95	$1,362.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.65 / $708.65 / $1,808.79	Professional		$708.65	$708.65	$1,808.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $818.26 / $879.85 / $879.85	Facility		$818.26	$879.85	$879.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $879.85 / $879.85 / $879.85	Professional		$879.85	$879.85	$879.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $786.60	Professional		$553.84	$553.84	$786.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $681.32 / $1,532.97	Facility		$319.00	$681.32	$1,532.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $422.42 / $613.79 / $1,226.38	Professional		$422.42	$613.79	$1,226.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.74 / $715.74 / $715.74	Facility		$715.74	$715.74	$715.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.74 / $763.46 / $811.17	Professional		$715.74	$763.46	$811.17
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $479.55 / $479.55 / $486.70	Professional		$479.55	$479.55	$486.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.35 / $766.35 / $766.35	Professional		$766.35	$766.35	$766.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $758.68 / $758.68	Facility		$597.00	$758.68	$758.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $746.13 / $1,103.44	Professional		$553.84	$746.13	$1,103.44
United Facility/Professional Professional Modifier Low / Median / High Price $401.52 / $602.27 / $1,023.85	Professional		$401.52	$602.27	$1,023.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $763.46 / $763.46 / $763.46	Facility		$763.46	$763.46	$763.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $715.74 / $763.46 / $811.17	Professional		$715.74	$763.46	$811.17