Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.96 / $670.33 / $1,241.63	Facility		$361.96	$670.33	$1,241.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.96 / $467.01 / $670.33	Professional		$361.96	$467.01	$670.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.25 / $1,084.52 / $2,126.50	Facility		$1,063.25	$1,084.52	$2,126.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.21 / $537.21 / $1,623.14	Professional		$537.21	$537.21	$1,623.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $823.83 / $885.84 / $885.84	Facility		$823.83	$885.84	$885.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $885.84 / $885.84 / $885.84	Professional		$885.84	$885.84	$885.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $544.74	Facility		$544.74	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $544.74	Professional		$397.66	$397.66	$544.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,063.25 / $2,392.31	Facility		$319.00	$1,063.25	$2,392.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $790.96 / $1,913.85	Professional		$606.00	$790.96	$1,913.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $757.50 / $757.50	Facility		$757.50	$757.50	$757.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.22 / $679.17 / $885.84	Professional		$639.22	$679.17	$885.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,668.71 / $1,684.63 / $1,716.46	Facility		$1,668.71	$1,684.63	$1,716.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.43 / $862.43 / $1,275.90	Professional		$862.43	$862.43	$1,275.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $1,063.25	Facility		$544.74	$544.74	$1,063.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $488.38 / $1,265.03	Professional		$397.66	$488.38	$1,265.03
United Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $530.44 / $972.48	Professional		$353.63	$530.44	$972.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $639.22 / $639.22 / $664.27	Facility		$639.22	$639.22	$664.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $639.22 / $639.22 / $757.50	Professional		$639.22	$639.22	$757.50