Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.93 / $416.76 / $771.44	Facility		$351.93	$416.76	$771.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.93 / $466.02 / $603.76	Professional		$351.93	$466.02	$603.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.66 / $976.81 / $1,915.32	Facility		$957.66	$976.81	$1,915.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $582.85 / $1,553.29	Professional		$582.85	$582.85	$1,553.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $742.02 / $797.87 / $797.87	Facility		$742.02	$797.87	$797.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $797.87 / $797.87 / $797.87	Professional		$797.87	$797.87	$797.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $694.09	Facility		$694.09	$694.09	$694.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $694.09	Professional		$506.69	$506.69	$694.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $957.66 / $2,154.73	Facility		$319.00	$957.66	$2,154.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.51 / $718.25 / $1,723.79	Professional		$494.51	$718.25	$1,723.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.25 / $429.25 / $429.25	Facility		$429.25	$429.25	$429.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.25 / $575.76 / $686.74	Professional		$429.25	$575.76	$686.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.66 / $957.66 / $957.66	Facility		$957.66	$957.66	$957.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.80 / $776.80 / $776.80	Professional		$776.80	$776.80	$776.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $694.09 / $957.66	Facility		$597.00	$694.09	$957.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $570.54 / $1,426.91	Professional		$506.69	$570.54	$1,426.91
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $574.60 / $863.56	Professional		$318.51	$574.60	$863.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.76 / $575.76 / $598.30	Facility		$575.76	$575.76	$598.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $429.25 / $575.76 / $611.74	Professional		$429.25	$575.76	$611.74