Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.71 / $713.73 / $1,321.14	Facility		$602.71	$713.73	$1,321.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.71 / $748.54 / $1,034.00	Professional		$602.71	$748.54	$1,034.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.08 / $1,672.88 / $3,280.16	Facility		$1,640.08	$1,672.88	$3,280.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.90 / $902.90 / $2,528.12	Professional		$902.90	$902.90	$2,528.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,270.77 / $1,366.42 / $1,366.42	Facility		$1,270.77	$1,366.42	$1,366.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,366.42 / $1,366.42 / $1,366.42	Professional		$1,366.42	$1,366.42	$1,366.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,232.20	Professional		$899.51	$899.51	$1,232.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,640.08 / $3,690.18	Facility		$319.00	$1,640.08	$3,690.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $846.89 / $1,230.06 / $2,952.14	Professional		$846.89	$1,230.06	$2,952.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.23 / $932.23 / $932.23	Facility		$932.23	$932.23	$932.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.23 / $986.02 / $1,176.08	Professional		$932.23	$986.02	$1,176.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.33 / $1,330.33 / $1,330.33	Professional		$1,330.33	$1,330.33	$1,330.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,232.20 / $1,640.08	Facility		$597.00	$1,232.20	$1,640.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $977.12 / $2,443.71	Professional		$899.51	$977.12	$2,443.71
United Facility/Professional Professional Modifier Low / Median / High Price $545.48 / $984.05 / $1,476.66	Professional		$545.48	$984.05	$1,476.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $986.02 / $986.02 / $1,024.67	Facility		$986.02	$986.02	$1,024.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $932.23 / $986.02 / $1,047.65	Professional		$932.23	$986.02	$1,047.65