Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.30 / $249.03 / $460.97	Facility		$210.30	$249.03	$460.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $302.73 / $360.78	Professional		$210.30	$302.73	$360.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.26 / $583.71 / $1,144.52	Facility		$572.26	$583.71	$1,144.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $345.85 / $921.69	Professional		$345.85	$345.85	$921.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $443.40 / $476.77 / $476.77	Facility		$443.40	$476.77	$476.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $476.77 / $476.77	Professional		$476.77	$476.77	$476.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $493.58	Professional		$360.31	$360.31	$493.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $572.26 / $1,287.58	Facility		$319.00	$572.26	$1,287.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.50 / $429.20 / $1,030.07	Professional		$295.50	$429.20	$1,030.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.80 / $282.80 / $282.80	Facility		$282.80	$282.80	$282.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $344.04 / $410.36	Professional		$282.80	$344.04	$410.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.18 / $464.18 / $464.18	Professional		$464.18	$464.18	$464.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $597.00	Facility		$493.58	$493.58	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $340.93 / $360.31 / $884.63	Professional		$340.93	$360.31	$884.63
United Facility/Professional Facility Modifier Low / Median / High Price $763.01 / $763.01 / $763.01	Facility		$763.01	$763.01	$763.01
United Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $345.67 / $524.64	Professional		$190.33	$345.67	$524.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $344.04 / $344.04 / $357.52	Facility		$344.04	$344.04	$357.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $344.04 / $365.55	Professional		$282.80	$344.04	$365.55