Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.35 / $280.75 / $711.66	Facility		$176.35	$280.75	$711.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $375.56 / $545.73	Professional		$280.75	$375.56	$545.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.70 / $841.19 / $1,649.40	Facility		$824.70	$841.19	$1,649.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $439.23 / $1,271.07	Professional		$439.23	$439.23	$1,271.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $638.99 / $687.09 / $687.09	Facility		$638.99	$687.09	$687.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $687.09 / $687.09 / $687.09	Professional		$687.09	$687.09	$687.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $679.93	Professional		$356.63	$488.53	$679.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $824.70 / $1,855.58	Facility		$319.00	$824.70	$1,855.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.92 / $596.15 / $1,484.46	Professional		$476.92	$596.15	$1,484.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $596.15 / $596.15 / $596.15	Facility		$596.15	$596.15	$596.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.81 / $526.79 / $687.09	Professional		$495.81	$526.79	$687.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $850.26 / $850.26 / $1,355.89	Facility		$850.26	$850.26	$1,355.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $668.93 / $668.93	Professional		$668.93	$668.93	$668.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $824.70	Facility		$488.53	$488.53	$824.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $488.53 / $978.78	Professional		$87.50	$488.53	$978.78
United Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $436.68 / $779.40	Professional		$274.29	$436.68	$779.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $495.81 / $495.81 / $733.55	Facility		$495.81	$495.81	$733.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $495.81 / $495.81 / $596.15	Professional		$495.81	$495.81	$596.15