Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.65 / $239.88 / $444.02	Facility		$187.65	$239.88	$444.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $263.48 / $347.52	Professional		$187.65	$263.48	$347.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.21 / $562.23 / $1,102.42	Facility		$551.21	$562.23	$1,102.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $804.50	Professional		$230.00	$230.00	$804.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $427.09 / $459.24 / $459.24	Facility		$427.09	$459.24	$459.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $459.24 / $459.24 / $459.24	Professional		$459.24	$459.24	$459.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $315.25	Professional		$230.13	$230.13	$315.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $551.21 / $1,240.22	Facility		$319.00	$551.21	$1,240.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.63 / $407.90 / $992.18	Professional		$284.63	$407.90	$992.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.78 / $334.78 / $334.78	Facility		$334.78	$334.78	$334.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.39 / $334.78 / $401.74	Professional		$331.39	$334.78	$401.74
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $227.65 / $227.65 / $227.65	Professional		$227.65	$227.65	$227.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.00 / $1,072.00 / $1,072.00	Facility		$1,072.00	$1,072.00	$1,072.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $597.00	Facility		$315.25	$315.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $289.68 / $818.44	Professional		$230.13	$289.68	$818.44
United Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $296.19 / $504.15	Professional		$183.33	$296.19	$504.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.39 / $331.39 / $368.30	Facility		$331.39	$331.39	$368.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.39 / $331.39 / $352.10	Professional		$331.39	$331.39	$352.10