Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $538.37 / $1,054.64	Facility		$245.60	$538.37	$1,054.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $344.75 / $421.35	Professional		$245.60	$344.75	$421.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $681.70 / $1,336.66	Facility		$668.33	$681.70	$1,336.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $424.98 / $1,113.78	Professional		$424.98	$424.98	$1,113.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $517.83 / $556.80 / $556.80	Facility		$517.83	$556.80	$556.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $556.80 / $556.80 / $556.80	Professional		$556.80	$556.80	$556.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $440.05	Professional		$321.24	$321.24	$440.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $668.33 / $1,503.74	Facility		$319.00	$668.33	$1,503.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $378.28 / $501.25 / $1,202.99	Professional		$378.28	$501.25	$1,202.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.85 / $472.85 / $472.85	Facility		$472.85	$472.85	$472.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.80 / $426.92 / $556.80	Professional		$401.80	$426.92	$556.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.11 / $542.11 / $542.11	Professional		$542.11	$542.11	$542.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $668.33	Facility		$440.05	$440.05	$668.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $413.06 / $995.81	Professional		$321.24	$413.06	$995.81
United Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $417.37 / $611.27	Professional		$222.28	$417.37	$611.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $379.58 / $401.80 / $401.80	Facility		$379.58	$401.80	$401.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.80 / $401.80 / $472.85	Professional		$401.80	$401.80	$472.85