Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $646.05 / $1,276.08	Facility		$294.73	$646.05	$1,276.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $413.73 / $505.64	Professional		$294.73	$413.73	$505.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.02 / $818.06 / $1,604.04	Facility		$802.02	$818.06	$1,604.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $1,336.60	Professional		$510.00	$510.00	$1,336.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $621.42 / $668.20 / $668.20	Facility		$621.42	$668.20	$668.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $668.20 / $668.20 / $668.20	Professional		$668.20	$668.20	$668.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $501.15	Facility		$501.15	$501.15	$501.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $501.15	Professional		$365.84	$365.84	$501.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $802.02 / $1,804.55	Facility		$319.00	$802.02	$1,804.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $453.95 / $601.52 / $1,443.64	Professional		$453.95	$601.52	$1,443.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.44 / $567.44 / $567.44	Facility		$567.44	$567.44	$567.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $512.32 / $668.20	Professional		$482.18	$512.32	$668.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.02 / $802.02 / $1,620.32	Facility		$802.02	$802.02	$1,620.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.54 / $650.54 / $650.54	Professional		$650.54	$650.54	$650.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $802.02	Facility		$501.15	$501.15	$802.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $495.69 / $1,195.01	Professional		$365.84	$495.69	$1,195.01
United Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $481.21 / $721.82	Professional		$266.75	$481.21	$721.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.18 / $482.18 / $535.88	Facility		$482.18	$482.18	$535.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $482.18 / $567.44	Professional		$482.18	$482.18	$567.44