Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.27 / $219.40 / $406.11	Facility		$185.27	$219.40	$406.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.27 / $233.96 / $317.83	Professional		$185.27	$233.96	$317.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.16 / $514.24 / $1,008.32	Facility		$504.16	$514.24	$1,008.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $264.64 / $777.06	Professional		$264.64	$264.64	$777.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $390.63 / $420.03 / $420.03	Facility		$390.63	$420.03	$420.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $420.03 / $420.03 / $420.03	Professional		$420.03	$420.03	$420.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $311.77	Professional		$227.60	$227.60	$311.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $504.16 / $1,134.35	Facility		$319.00	$504.16	$1,134.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $378.12 / $907.49	Professional		$260.33	$378.12	$907.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.64 / $266.64 / $266.64	Facility		$266.64	$266.64	$266.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $303.08 / $361.52	Professional		$266.64	$303.08	$361.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $408.93 / $408.93	Professional		$408.93	$408.93	$408.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $567.71	Facility		$311.77	$311.77	$567.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $300.36 / $698.44	Professional		$227.60	$300.36	$698.44
United Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $290.26 / $461.11	Professional		$167.68	$290.26	$461.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $303.08 / $314.97	Facility		$303.08	$303.08	$314.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $303.08 / $322.05	Professional		$266.64	$303.08	$322.05