Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.29 / $417.10 / $772.07	Facility		$326.29	$417.10	$772.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $431.62 / $604.27	Professional		$326.29	$431.62	$604.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.46 / $977.63 / $1,916.92	Facility		$958.46	$977.63	$1,916.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.72 / $487.72 / $1,463.18	Professional		$487.72	$487.72	$1,463.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $742.63 / $798.53 / $798.53	Facility		$742.63	$798.53	$798.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $798.53 / $798.53 / $798.53	Professional		$798.53	$798.53	$798.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $501.14	Professional		$365.83	$365.83	$501.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $958.46 / $2,156.54	Facility		$319.00	$958.46	$2,156.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.92 / $718.85 / $1,725.23	Professional		$494.92	$718.85	$1,725.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.78 / $431.78 / $431.78	Facility		$431.78	$431.78	$431.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $576.23 / $687.30	Professional		$431.78	$576.23	$687.30
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $280.66 / $280.66	Professional		$280.66	$280.66	$280.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.44 / $777.44 / $777.44	Professional		$777.44	$777.44	$777.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $958.46	Facility		$501.14	$501.14	$958.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $1,234.02	Professional		$365.83	$501.14	$1,234.02
United Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $478.16 / $862.61	Professional		$318.77	$478.16	$862.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $576.23 / $576.23 / $598.80	Facility		$576.23	$576.23	$598.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $576.23 / $612.24	Professional		$431.78	$576.23	$612.24