Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.90 / $236.73 / $438.19	Facility		$199.90	$236.73	$438.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $236.73 / $342.94	Professional		$199.90	$236.73	$342.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.96 / $554.84 / $1,087.92	Facility		$543.96	$554.84	$1,087.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $296.30 / $838.41	Professional		$296.30	$296.30	$838.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $421.48 / $453.20 / $453.20	Facility		$421.48	$453.20	$453.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.20 / $453.20 / $453.20	Professional		$453.20	$453.20	$453.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $305.54	Professional		$223.04	$223.04	$305.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $543.96 / $1,223.91	Facility		$319.00	$543.96	$1,223.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $320.94 / $407.97 / $979.13	Professional		$320.94	$407.97	$979.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.46 / $412.46 / $412.46	Facility		$412.46	$412.46	$412.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $347.47 / $453.20	Professional		$327.02	$347.47	$453.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.96 / $543.96 / $543.96	Facility		$543.96	$543.96	$543.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $597.00	Facility		$305.54	$305.54	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $810.50	Professional		$223.04	$305.54	$810.50
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $325.26 / $488.98	Professional		$180.92	$325.26	$488.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $327.02 / $327.02 / $339.84	Facility		$327.02	$327.02	$339.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $327.02 / $412.46	Professional		$327.02	$327.02	$412.46