Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.25 / $434.90 / $805.02	Facility		$367.25	$434.90	$805.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $463.46 / $630.04	Professional		$367.25	$463.46	$630.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.35 / $1,019.34 / $1,998.70	Facility		$999.35	$1,019.34	$1,998.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.25 / $581.25 / $1,584.65	Professional		$581.25	$581.25	$1,584.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $774.33 / $832.61 / $832.61	Facility		$774.33	$832.61	$832.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $832.61 / $832.61 / $832.61	Professional		$832.61	$832.61	$832.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $596.58	Professional		$435.50	$435.50	$596.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $999.35 / $2,248.54	Facility		$319.00	$999.35	$2,248.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $749.51 / $1,798.83	Professional		$516.04	$749.51	$1,798.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.85 / $590.85 / $590.85	Facility		$590.85	$590.85	$590.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.85 / $600.82 / $716.63	Professional		$590.85	$600.82	$716.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $810.61 / $810.61	Professional		$810.61	$810.61	$810.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $999.35	Facility		$596.58	$596.58	$999.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $595.40 / $1,548.99	Professional		$435.50	$595.40	$1,548.99
United Facility/Professional Facility Modifier Low / Median / High Price $359.65 / $629.41 / $717.65	Facility		$359.65	$629.41	$717.65
United Facility/Professional Professional Modifier Low / Median / High Price $332.38 / $617.25 / $914.05	Professional		$332.38	$617.25	$914.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $600.82 / $600.82 / $624.37	Facility		$600.82	$600.82	$624.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $590.85 / $600.82 / $638.37	Professional		$590.85	$600.82	$638.37