Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $826.78 / $1,141.25	Facility		$283.45	$826.78	$1,141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.45 / $362.33 / $524.91	Professional		$283.45	$362.33	$524.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.61 / $849.26 / $1,665.22	Facility		$832.61	$849.26	$1,665.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.03 / $376.03 / $1,216.23	Professional		$376.03	$376.03	$1,216.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.13 / $693.69 / $693.69	Facility		$645.13	$693.69	$693.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $693.69 / $693.69 / $693.69	Professional		$693.69	$693.69	$693.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $523.66	Facility		$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $523.66	Professional		$382.28	$382.28	$523.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $832.61 / $1,873.37	Facility		$319.00	$832.61	$1,873.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.40 / $616.13 / $1,498.70	Professional		$444.40	$616.13	$1,498.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.50 / $555.50 / $555.50	Facility		$555.50	$555.50	$555.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $531.85 / $666.60	Professional		$500.57	$531.85	$666.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.36 / $675.36 / $675.36	Professional		$675.36	$675.36	$675.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $832.61	Facility		$523.66	$523.66	$832.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $446.41 / $1,290.55	Professional		$382.28	$446.41	$1,290.55
United Facility/Professional Professional Modifier Low / Median / High Price $276.92 / $415.38 / $761.53	Professional		$276.92	$415.38	$761.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $500.57 / $500.57 / $520.19	Facility		$500.57	$500.57	$520.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $500.57 / $555.50	Professional		$500.57	$500.57	$555.50