Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.21 / $232.91 / $431.13	Facility		$182.21	$232.91	$431.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $260.13 / $370.71	Professional		$182.21	$260.13	$370.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $545.90 / $1,070.40	Facility		$535.20	$545.90	$1,070.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.10 / $295.10 / $826.28	Professional		$295.10	$295.10	$826.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $414.70 / $445.91 / $445.91	Facility		$414.70	$445.91	$445.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $445.91 / $445.91 / $445.91	Professional		$445.91	$445.91	$445.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $336.03	Professional		$245.30	$245.30	$336.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $535.20 / $1,204.20	Facility		$319.00	$535.20	$1,204.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $396.05 / $963.36	Professional		$276.37	$396.05	$963.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.85 / $253.85 / $253.85	Facility		$253.85	$253.85	$253.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $321.77 / $383.80	Professional		$253.85	$321.77	$383.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.92 / $450.92 / $485.00	Facility		$450.92	$450.92	$485.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.13 / $434.13 / $434.13	Professional		$434.13	$434.13	$434.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $597.00	Facility		$321.89	$336.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $328.05 / $829.56	Professional		$245.30	$328.05	$829.56
United Facility/Professional Professional Modifier Low / Median / High Price $178.01 / $281.55 / $489.86	Professional		$178.01	$281.55	$489.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $321.77 / $321.77 / $357.62	Facility		$321.77	$321.77	$357.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $321.77 / $341.89	Professional		$253.85	$321.77	$341.89