Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.98 / $660.86 / $1,223.28	Facility		$516.98	$660.86	$1,223.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.98 / $670.90 / $957.41	Professional		$516.98	$670.90	$957.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.60 / $1,548.97 / $3,037.20	Facility		$1,518.60	$1,548.97	$3,037.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.15 / $828.15 / $2,340.57	Professional		$828.15	$828.15	$2,340.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,176.65 / $1,265.21 / $1,265.21	Facility		$1,176.65	$1,265.21	$1,265.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,265.21 / $1,265.21 / $1,265.21	Professional		$1,265.21	$1,265.21	$1,265.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $840.60	Professional		$613.64	$613.64	$840.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,518.60 / $3,416.85	Facility		$319.00	$1,518.60	$3,416.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $784.15 / $1,093.39 / $2,733.48	Professional		$784.15	$1,093.39	$2,733.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.43 / $836.43 / $836.43	Facility		$836.43	$836.43	$836.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.43 / $912.99 / $1,088.97	Professional		$836.43	$912.99	$1,088.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.78 / $1,231.78 / $1,231.78	Professional		$1,231.78	$1,231.78	$1,231.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $840.60 / $1,518.60	Facility		$597.00	$840.60	$1,518.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $1,955.20	Professional		$613.64	$840.60	$1,955.20
United Facility/Professional Professional Modifier Low / Median / High Price $505.07 / $757.61 / $1,388.95	Professional		$505.07	$757.61	$1,388.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.99 / $912.99 / $960.43	Facility		$912.99	$912.99	$960.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $836.43 / $912.99 / $970.05	Professional		$836.43	$912.99	$970.05