Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.47 / $596.29 / $1,103.77	Facility		$466.47	$596.29	$1,103.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.47 / $596.29 / $863.87	Professional		$466.47	$596.29	$863.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,370.23 / $1,397.63 / $2,740.46	Facility		$1,370.23	$1,397.63	$2,740.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $613.00 / $2,001.56	Professional		$613.00	$613.00	$2,001.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,061.68 / $1,141.58 / $1,141.58	Facility		$1,061.68	$1,141.58	$1,141.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,141.58 / $1,141.58 / $1,141.58	Professional		$1,141.58	$1,141.58	$1,141.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $773.33	Facility		$700.00	$700.00	$773.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $773.33	Professional		$511.00	$511.00	$773.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,370.23 / $3,083.02	Facility		$319.00	$1,370.23	$3,083.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.54 / $986.57 / $2,466.41	Professional		$707.54	$986.57	$2,466.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $757.50 / $757.50	Facility		$757.50	$757.50	$757.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.50 / $823.79 / $982.58	Professional		$757.50	$823.79	$982.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.43 / $1,111.43 / $1,111.43	Professional		$1,111.43	$1,111.43	$1,111.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $700.00 / $1,370.23	Facility		$597.00	$700.00	$1,370.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $1,635.94	Professional		$511.00	$700.00	$1,635.94
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.73 / $683.59 / $1,233.21	Professional		$455.73	$683.59	$1,233.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $823.79 / $823.79 / $856.07	Facility		$823.79	$823.79	$856.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $757.50 / $823.79 / $875.28	Professional		$757.50	$823.79	$875.28