Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.92 / $549.77 / $1,017.66	Facility		$447.92	$549.77	$1,017.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $601.65 / $791.01	Professional		$447.92	$601.65	$791.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.33 / $804.10 / $1,576.66	Facility		$788.33	$804.10	$1,576.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.91 / $800.91 / $2,016.81	Professional		$800.91	$800.91	$2,016.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $895.06 / $962.43 / $962.43	Facility		$895.06	$962.43	$962.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $962.43 / $962.43 / $962.43	Professional		$962.43	$962.43	$962.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $854.15	Professional		$623.53	$623.53	$854.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $788.33 / $1,773.74	Facility		$319.00	$788.33	$1,773.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $488.76 / $652.35 / $1,418.99	Professional		$488.76	$652.35	$1,418.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.01 / $749.01 / $749.01	Facility		$749.01	$749.01	$749.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.01 / $798.93 / $848.86	Professional		$749.01	$798.93	$848.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.22 / $858.22 / $858.22	Professional		$858.22	$858.22	$858.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $854.15 / $854.15	Facility		$597.00	$854.15	$854.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $780.80 / $1,276.41	Professional		$623.53	$780.80	$1,276.41
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $653.76 / $1,088.90	Professional		$420.18	$653.76	$1,088.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $798.93 / $798.93 / $798.93	Facility		$798.93	$798.93	$798.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $749.01 / $798.93 / $848.86	Professional		$749.01	$798.93	$848.86