Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $271.38 / $502.32	Facility		$229.16	$271.38	$502.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $330.82 / $404.11	Professional		$229.16	$330.82	$404.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.59 / $636.05 / $1,247.18	Facility		$623.59	$636.05	$1,247.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.60 / $461.60 / $1,073.36	Professional		$461.60	$461.60	$1,073.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $483.17 / $519.54 / $519.54	Facility		$483.17	$519.54	$519.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $519.54 / $519.54	Professional		$519.54	$519.54	$519.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $389.66	Professional		$284.45	$284.45	$389.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $623.59 / $1,403.08	Facility		$319.00	$623.59	$1,403.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $467.69 / $1,122.46	Professional		$322.00	$467.69	$1,122.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.54 / $256.54 / $256.54	Facility		$256.54	$256.54	$256.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $374.90 / $447.17	Professional		$256.54	$374.90	$447.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.82 / $505.82 / $505.82	Professional		$505.82	$505.82	$505.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $623.59	Facility		$389.66	$389.66	$623.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $371.52 / $903.75	Professional		$284.45	$371.52	$903.75
United Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $393.28 / $570.35	Professional		$207.40	$393.28	$570.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $374.90 / $374.90 / $389.60	Facility		$374.90	$374.90	$389.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $374.90 / $398.33	Professional		$256.54	$374.90	$398.33