Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.24 / $255.97 / $880.96	Facility		$200.24	$255.97	$880.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $255.97 / $370.84	Professional		$200.24	$255.97	$370.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.21 / $599.97 / $1,176.42	Facility		$588.21	$599.97	$1,176.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.66 / $307.66 / $906.61	Professional		$307.66	$307.66	$906.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $455.76 / $490.06 / $490.06	Facility		$455.76	$490.06	$490.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $490.06 / $490.06 / $490.06	Professional		$490.06	$490.06	$490.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $361.45	Professional		$263.86	$263.86	$361.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $588.21 / $1,323.47	Facility		$319.00	$588.21	$1,323.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $423.51 / $1,058.78	Professional		$303.73	$423.51	$1,058.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $353.62 / $421.79	Professional		$272.70	$353.62	$421.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.02 / $1,155.02 / $1,166.04	Facility		$1,155.02	$1,155.02	$1,166.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $477.10 / $705.85	Professional		$477.10	$477.10	$705.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $597.00	Facility		$361.45	$361.45	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $350.41 / $876.43	Professional		$263.86	$350.41	$876.43
United Facility/Professional Professional Modifier Low / Median / High Price $195.63 / $293.45 / $537.99	Professional		$195.63	$293.45	$537.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $353.62 / $353.62 / $367.47	Facility		$353.62	$353.62	$367.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $353.62 / $375.71	Professional		$272.70	$353.62	$375.71