Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.10 / $339.99 / $629.33	Facility		$287.10	$339.99	$629.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $339.99 / $492.54	Professional		$256.01	$339.99	$492.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $781.25 / $796.88 / $1,562.50	Facility		$781.25	$796.88	$1,562.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $355.30 / $1,141.22	Professional		$355.30	$355.30	$1,141.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $605.34 / $650.90 / $650.90	Facility		$605.34	$650.90	$650.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $650.90 / $650.90 / $650.90	Professional		$650.90	$650.90	$650.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $379.03	Professional		$276.69	$276.69	$379.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $781.25 / $1,757.81	Facility		$319.00	$781.25	$1,757.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $433.60 / $562.50 / $1,406.25	Professional		$433.60	$562.50	$1,406.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.54 / $560.54 / $560.54	Facility		$560.54	$560.54	$560.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.69 / $499.04 / $650.90	Professional		$469.69	$499.04	$650.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.70 / $633.70 / $633.70	Professional		$633.70	$633.70	$633.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $781.25	Facility		$379.03	$379.03	$781.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $379.03 / $1,210.94	Professional		$276.69	$379.03	$1,210.94
United Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $438.48 / $714.56	Professional		$259.83	$438.48	$714.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $469.69 / $469.69 / $488.10	Facility		$469.69	$469.69	$488.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $469.69 / $469.69 / $560.54	Professional		$469.69	$469.69	$560.54