Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.65 / $461.42 / $854.11	Facility		$389.65	$461.42	$854.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $462.18 / $668.46	Professional		$389.65	$462.18	$668.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.28 / $1,081.49 / $2,120.56	Facility		$1,060.28	$1,081.49	$2,120.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.70 / $566.70 / $1,634.23	Professional		$566.70	$566.70	$1,634.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $821.53 / $883.37 / $883.37	Facility		$821.53	$883.37	$883.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $883.37 / $883.37 / $883.37	Professional		$883.37	$883.37	$883.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $583.49	Professional		$425.95	$425.95	$583.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,060.28 / $2,385.63	Facility		$319.00	$1,060.28	$2,385.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $600.14 / $795.21 / $1,908.50	Professional		$600.14	$795.21	$1,908.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.17 / $750.17 / $750.17	Facility		$750.17	$750.17	$750.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.47 / $677.31 / $883.37	Professional		$637.47	$677.31	$883.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.05 / $860.05 / $860.05	Professional		$860.05	$860.05	$860.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,060.28	Facility		$583.49	$583.49	$1,060.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $1,353.28	Professional		$425.95	$583.49	$1,353.28
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $352.64 / $621.15 / $933.80	Professional		$352.64	$621.15	$933.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $637.47 / $637.47 / $662.45	Facility		$637.47	$637.47	$662.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $637.47 / $637.47 / $750.17	Professional		$637.47	$637.47	$750.17