Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.86 / $263.91 / $634.92	Facility		$222.86	$263.91	$634.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $294.75 / $400.64	Professional		$222.86	$294.75	$400.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.42 / $618.55 / $1,212.85	Facility		$606.42	$618.55	$1,212.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.58 / $379.58 / $1,009.71	Professional		$379.58	$379.58	$1,009.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $469.87 / $505.24 / $505.24	Facility		$469.87	$505.24	$505.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $505.24 / $505.24 / $505.24	Professional		$505.24	$505.24	$505.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $459.90	Facility		$459.90	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $459.90	Professional		$335.73	$335.73	$459.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $606.42 / $1,364.47	Facility		$319.00	$606.42	$1,364.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $343.25 / $448.76 / $1,091.57	Professional		$343.25	$448.76	$1,091.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.06 / $429.06 / $429.06	Facility		$429.06	$429.06	$429.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.59 / $387.38 / $505.24	Professional		$364.59	$387.38	$505.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.20 / $1,179.20 / $1,179.20	Facility		$1,179.20	$1,179.20	$1,179.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.90 / $491.90 / $491.90	Professional		$491.90	$491.90	$491.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $606.42	Facility		$459.90	$459.90	$606.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $361.29 / $1,002.66	Professional		$335.73	$361.29	$1,002.66
United Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $363.86 / $554.66	Professional		$201.70	$363.86	$554.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $364.59 / $364.59 / $378.88	Facility		$364.59	$364.59	$378.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $364.59 / $364.59 / $429.06	Professional		$364.59	$364.59	$429.06