Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.76 / $702.27 / $1,017.37	Facility		$240.76	$702.27	$1,017.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $324.58 / $445.87	Professional		$240.76	$324.58	$445.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.23 / $721.37 / $1,414.46	Facility		$707.23	$721.37	$1,414.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.31 / $350.31 / $1,068.44	Professional		$350.31	$350.31	$1,068.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $547.97 / $589.22 / $589.22	Facility		$547.97	$589.22	$589.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $589.22 / $589.22 / $589.22	Professional		$589.22	$589.22	$589.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $372.88	Professional		$272.20	$272.20	$372.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $707.23 / $1,591.27	Facility		$319.00	$707.23	$1,591.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $530.41 / $1,273.01	Professional		$400.30	$530.41	$1,273.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.37 / $500.37 / $500.37	Facility		$500.37	$500.37	$500.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.19 / $451.75 / $589.22	Professional		$425.19	$451.75	$589.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.64 / $573.64 / $573.64	Professional		$573.64	$573.64	$573.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $707.23	Facility		$372.88	$372.88	$707.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $324.85 / $850.31	Professional		$272.20	$324.85	$850.31
United Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $365.98 / $609.57	Professional		$235.22	$365.98	$609.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $425.19 / $425.19 / $441.84	Facility		$425.19	$425.19	$441.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $425.19 / $425.19 / $500.37	Professional		$425.19	$425.19	$500.37