Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.27 / $287.95 / $692.81	Facility		$225.27	$287.95	$692.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $289.12 / $417.18	Professional		$225.27	$289.12	$417.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.72 / $674.95 / $1,323.44	Facility		$661.72	$674.95	$1,323.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $396.47 / $1,056.58	Professional		$396.47	$396.47	$1,056.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.71 / $551.29 / $551.29	Facility		$512.71	$551.29	$551.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $551.29 / $551.29 / $551.29	Professional		$551.29	$551.29	$551.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $419.48	Professional		$306.22	$306.22	$419.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $661.72 / $1,488.87	Facility		$319.00	$661.72	$1,488.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.54 / $489.67 / $1,191.09	Professional		$374.54	$489.67	$1,191.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.18 / $468.18 / $468.18	Facility		$468.18	$468.18	$468.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.82 / $422.69 / $551.29	Professional		$397.82	$422.69	$551.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.73 / $536.73 / $794.06	Professional		$536.73	$536.73	$794.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $661.72	Facility		$419.48	$419.48	$661.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $408.97 / $982.50	Professional		$306.22	$408.97	$982.50
United Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $349.20 / $661.72	Professional		$220.08	$349.20	$661.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.82 / $397.82 / $442.14	Facility		$397.82	$397.82	$442.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $397.82 / $397.82 / $468.18	Professional		$397.82	$397.82	$468.18