Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.35 / $526.85 / $1,064.51	Facility		$240.35	$526.85	$1,064.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.35 / $284.63 / $412.34	Professional		$240.35	$284.63	$412.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $667.12 / $1,308.08	Facility		$654.04	$667.12	$1,308.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.89 / $365.89 / $1,015.95	Professional		$365.89	$365.89	$1,015.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $506.77 / $544.91 / $544.91	Facility		$506.77	$544.91	$544.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $544.91 / $544.91	Professional		$544.91	$544.91	$544.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $654.04 / $1,471.59	Facility		$319.00	$654.04	$1,471.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $479.75 / $1,177.27	Professional		$383.80	$479.75	$1,177.27
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 $393.21 / $417.78 / $544.91	Professional		$393.21	$417.78	$544.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.51 / $530.51 / $530.51	Professional		$530.51	$530.51	$530.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $654.04	Facility		$382.03	$382.03	$654.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $872.34	Professional		$278.88	$382.03	$872.34
United Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $388.50 / $563.73	Professional		$217.53	$388.50	$563.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $393.21 / $393.21 / $408.62	Facility		$393.21	$393.21	$408.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.21 / $393.21 / $479.75	Professional		$393.21	$393.21	$479.75