Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.30 / $237.12 / $431.13	Facility		$195.30	$237.12	$431.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $315.68 / $379.38	Professional		$195.30	$315.68	$379.38
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 $301.51 / $301.51 / $882.90	Professional		$301.51	$301.51	$882.90
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 $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $383.66	Professional		$274.27	$274.27	$383.66
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 $331.82 / $401.40 / $963.36	Professional		$331.82	$401.40	$963.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.67 / $378.67 / $378.67	Facility		$378.67	$378.67	$378.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $378.67 / $445.91	Professional		$362.15	$378.67	$445.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.10 / $443.10 / $478.55	Professional		$443.10	$443.10	$478.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $383.66 / $597.00	Facility		$375.73	$383.66	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $323.35 / $794.53	Professional		$274.27	$323.35	$794.53
United Facility/Professional Professional Modifier Low / Median / High Price $178.01 / $285.12 / $535.20	Professional		$178.01	$285.12	$535.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $362.15 / $362.15 / $362.15	Facility		$362.15	$362.15	$362.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $362.15 / $384.78	Professional		$362.15	$362.15	$384.78