Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.88 / $297.08 / $549.91	Facility		$250.88	$297.08	$549.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.88 / $311.58 / $430.40	Professional		$250.88	$311.58	$430.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.68 / $696.33 / $1,365.36	Facility		$682.68	$696.33	$1,365.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $1,063.68	Professional		$384.00	$384.00	$1,063.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $528.96 / $568.77 / $568.77	Facility		$528.96	$568.77	$568.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $568.77 / $568.77 / $568.77	Professional		$568.77	$568.77	$568.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $394.91	Professional		$288.27	$288.27	$394.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $682.68 / $1,536.03	Facility		$319.00	$682.68	$1,536.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $512.01 / $1,228.82	Professional		$383.80	$512.01	$1,228.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.75 / $479.75 / $479.75	Facility		$479.75	$479.75	$479.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.43 / $436.09 / $568.77	Professional		$410.43	$436.09	$568.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $553.74 / $553.74	Professional		$553.74	$553.74	$553.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $682.68	Facility		$394.91	$394.91	$682.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.91 / $1,017.19	Professional		$288.27	$394.91	$1,017.19
United Facility/Professional Professional Modifier Low / Median / High Price $227.05 / $409.61 / $588.41	Professional		$227.05	$409.61	$588.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $410.43 / $410.43 / $426.51	Facility		$410.43	$410.43	$426.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $410.43 / $410.43 / $479.75	Professional		$410.43	$410.43	$479.75