Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.58 / $560.80 / $1,038.08	Facility		$473.58	$560.80	$1,038.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.58 / $735.86 / $835.12	Professional		$473.58	$735.86	$835.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.69 / $1,314.46 / $2,577.38	Facility		$1,288.69	$1,314.46	$2,577.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.30 / $787.30 / $2,098.15	Professional		$787.30	$787.30	$2,098.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $998.50 / $1,073.66 / $1,073.66	Facility		$998.50	$1,073.66	$1,073.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,073.66 / $1,073.66 / $1,073.66	Professional		$1,073.66	$1,073.66	$1,073.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $908.11	Professional		$662.92	$662.92	$908.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,288.69 / $2,899.55	Facility		$319.00	$1,288.69	$2,899.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $665.44 / $966.52 / $2,319.64	Professional		$665.44	$966.52	$2,319.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.75 / $580.75 / $580.75	Facility		$580.75	$580.75	$580.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.75 / $774.76 / $924.11	Professional		$580.75	$774.76	$924.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.29 / $1,045.29 / $1,045.29	Professional		$1,045.29	$1,045.29	$1,045.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $908.11 / $1,288.69	Facility		$597.00	$908.11	$1,288.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $767.76 / $1,997.47	Professional		$662.92	$767.76	$1,997.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,718.25 / $1,718.25 / $1,718.25	Facility		$1,718.25	$1,718.25	$1,718.25
United Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $804.79 / $1,178.67	Professional		$428.61	$804.79	$1,178.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $688.86 / $774.76 / $774.76	Facility		$688.86	$774.76	$774.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $580.75 / $774.76 / $823.19	Professional		$580.75	$774.76	$823.19