Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.26 / $307.02 / $568.29	Facility		$259.26	$307.02	$568.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $326.12 / $444.78	Professional		$259.26	$326.12	$444.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.49 / $719.60 / $1,410.98	Facility		$705.49	$719.60	$1,410.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.05 / $455.05 / $1,186.33	Professional		$455.05	$455.05	$1,186.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $546.64 / $587.78 / $587.78	Facility		$546.64	$587.78	$587.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $587.78 / $587.78 / $587.78	Professional		$587.78	$587.78	$587.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $448.56	Professional		$327.45	$327.45	$448.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $705.49 / $1,587.35	Facility		$319.00	$705.49	$1,587.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.29 / $522.05 / $1,269.88	Professional		$364.29	$522.05	$1,269.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.50 / $454.50 / $454.50	Facility		$454.50	$454.50	$454.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $450.66 / $545.40	Professional		$424.15	$450.66	$545.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.25 / $572.25 / $572.25	Professional		$572.25	$572.25	$572.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $705.49	Facility		$448.56	$448.56	$705.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $420.32 / $1,022.34	Professional		$327.45	$420.32	$1,022.34
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $423.29 / $645.26	Professional		$234.64	$423.29	$645.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $424.15 / $424.15 / $440.77	Facility		$424.15	$424.15	$440.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $424.15 / $454.50	Professional		$424.15	$424.15	$454.50