Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.69 / $627.26 / $1,161.09	Facility		$529.69	$627.26	$1,161.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.69 / $833.35 / $934.08	Professional		$529.69	$833.35	$934.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.39 / $1,470.22 / $2,882.78	Facility		$1,441.39	$1,470.22	$2,882.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.06 / $874.06 / $2,329.36	Professional		$874.06	$874.06	$2,329.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,116.83 / $1,200.89 / $1,200.89	Facility		$1,116.83	$1,200.89	$1,200.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,200.89 / $1,200.89 / $1,200.89	Professional		$1,200.89	$1,200.89	$1,200.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,200.11	Facility		$1,200.11	$1,200.11	$1,200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,200.11	Professional		$876.09	$876.09	$1,200.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,441.39 / $3,243.13	Facility		$319.00	$1,441.39	$3,243.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $815.84 / $1,081.04 / $2,594.50	Professional		$815.84	$1,081.04	$2,594.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.80 / $1,019.80 / $1,019.80	Facility		$1,019.80	$1,019.80	$1,019.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.57 / $920.73 / $1,200.89	Professional		$866.57	$920.73	$1,200.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.17 / $1,169.17 / $1,169.17	Professional		$1,169.17	$1,169.17	$1,169.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,200.11 / $1,441.39	Facility		$597.00	$1,200.11	$1,441.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $858.74 / $876.09 / $2,147.67	Professional		$858.74	$876.09	$2,147.67
United Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $864.83 / $1,318.34	Professional		$479.40	$864.83	$1,318.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $866.57 / $866.57 / $900.53	Facility		$866.57	$866.57	$900.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $866.57 / $866.57 / $1,019.80	Professional		$866.57	$866.57	$1,019.80