Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $306.00 / $566.41	Facility		$258.39	$306.00	$566.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $306.00 / $443.30	Professional		$258.39	$306.00	$443.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.15 / $717.21 / $1,406.30	Facility		$703.15	$717.21	$1,406.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.89 / $319.89 / $1,027.13	Professional		$319.89	$319.89	$1,027.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $544.80 / $585.82 / $585.82	Facility		$544.80	$585.82	$585.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $585.82 / $585.82 / $585.82	Professional		$585.82	$585.82	$585.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Facility		$329.53	$329.53	$329.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $329.53	Professional		$240.56	$240.56	$329.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $703.15 / $1,582.09	Facility		$319.00	$703.15	$1,582.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $520.33 / $1,265.67	Professional		$363.60	$520.33	$1,265.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.50 / $454.50 / $454.50	Facility		$454.50	$454.50	$454.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.74 / $449.16 / $545.40	Professional		$422.74	$449.16	$545.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $570.36 / $570.36	Professional		$570.36	$570.36	$570.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $703.15	Facility		$329.53	$329.53	$703.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $836.59	Professional		$240.56	$329.53	$836.59
United Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $396.41 / $591.09	Professional		$233.86	$396.41	$591.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $422.74 / $422.74 / $439.30	Facility		$422.74	$422.74	$439.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.74 / $422.74 / $454.50	Professional		$422.74	$422.74	$454.50