Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.46 / $647.80 / $1,161.18	Facility		$115.46	$647.80	$1,161.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $90.20 / $140.68	Professional		$87.72	$90.20	$140.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $433.77	Professional		$66.20	$66.20	$433.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Facility		$407.43	$407.43	$407.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $297.42 / $407.43 / $407.43	Professional		$297.42	$407.43	$407.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.93 / $825.34 / $1,057.58	Facility		$346.93	$825.34	$1,057.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $594.79 / $1,963.81	Professional		$96.82	$594.79	$1,963.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $529.66 / $916.72	Facility		$294.00	$529.66	$916.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.80 / $537.80 / $884.12	Professional		$427.80	$537.80	$884.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $407.43 / $738.79	Professional		$346.32	$407.43	$738.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.24 / $564.24 / $564.24	Facility		$564.24	$564.24	$564.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $373.41 / $994.39 / $1,057.58	Facility		$373.41	$994.39	$1,057.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $325.94 / $839.31	Professional		$107.58	$325.94	$839.31
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $285.20	Professional		$69.51	$99.31	$285.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $468.53 / $468.53	Facility		$407.43	$468.53	$468.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $407.43 / $489.70	Professional		$346.32	$407.43	$489.70