Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.22 / $429.79 / $1,034.03	Facility		$336.22	$429.79	$1,034.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $431.52 / $622.65	Professional		$336.22	$431.52	$622.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.62 / $1,007.37 / $1,975.24	Facility		$987.62	$1,007.37	$1,975.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.83 / $544.83 / $1,525.52	Professional		$544.83	$544.83	$1,525.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $765.23 / $822.83 / $822.83	Facility		$765.23	$822.83	$822.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $822.83 / $822.83 / $822.83	Professional		$822.83	$822.83	$822.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $710.11	Professional		$518.38	$518.38	$710.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $987.62 / $2,222.15	Facility		$319.00	$987.62	$2,222.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $730.84 / $1,777.72	Professional		$559.00	$730.84	$1,777.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.75 / $698.75 / $698.75	Facility		$698.75	$698.75	$698.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.78 / $630.88 / $822.83	Professional		$593.78	$630.88	$822.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.09 / $801.09 / $801.09	Professional		$801.09	$801.09	$801.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $710.11 / $987.62	Facility		$597.00	$710.11	$987.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $605.35 / $1,530.81	Professional		$518.38	$605.35	$1,530.81
United Facility/Professional Professional Modifier Low / Median / High Price $328.48 / $521.20 / $903.93	Professional		$328.48	$521.20	$903.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $593.78 / $593.78 / $659.91	Facility		$593.78	$593.78	$659.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $593.78 / $593.78 / $698.75	Professional		$593.78	$593.78	$698.75