Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $650.17 / $1,187.82	Facility		$416.78	$650.17	$1,187.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $212.55 / $1,054.45	Professional		$166.71	$212.55	$1,054.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Facility		$218.06	$218.06	$218.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $218.06 / $218.06	Professional		$159.18	$218.06	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.92 / $884.33 / $1,022.77	Facility		$749.92	$884.33	$1,022.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.69 / $608.27 / $2,008.88	Professional		$507.69	$608.27	$2,008.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $416.78 / $937.76	Facility		$332.00	$416.78	$937.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $512.64 / $904.41	Professional		$291.75	$512.64	$904.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $416.78 / $755.74	Professional		$354.26	$416.78	$755.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,856.67 / $1,856.67 / $1,856.67	Facility		$1,856.67	$1,856.67	$1,856.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $880.46 / $1,499.84	Facility		$555.00	$880.46	$1,499.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $454.29 / $958.59	Professional		$416.78	$454.29	$958.59
United Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $250.10 / $712.05	Professional		$166.67	$250.10	$712.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $479.29 / $479.29	Facility		$416.78	$479.29	$479.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $416.78 / $500.94	Professional		$354.26	$416.78	$500.94