Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.01 / $558.66 / $1,475.92	Facility		$412.01	$558.66	$1,475.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.43 / $542.85 / $1,423.10	Professional		$345.43	$542.85	$1,423.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.48 / $460.68 / $1,482.56	Professional		$357.48	$460.68	$1,482.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $609.27 / $609.27 / $609.27	Facility		$609.27	$609.27	$609.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $609.27 / $609.27 / $780.20	Professional		$609.27	$609.27	$780.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.24 / $741.24 / $14,648.00	Facility		$741.24	$741.24	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.36 / $797.77 / $1,854.14	Professional		$483.36	$797.77	$1,854.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $487.60 / $1,170.18	Facility		$319.00	$487.60	$1,170.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $900.00 / $1,164.31	Professional		$650.00	$900.00	$1,164.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.09 / $597.95 / $1,042.74	Professional		$405.09	$597.95	$1,042.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.15 / $1,114.15 / $1,334.38	Professional		$1,114.15	$1,114.15	$1,334.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $741.24 / $7,227.90	Facility		$555.00	$741.24	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $825.69 / $1,906.03	Professional		$478.80	$825.69	$1,906.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $639.62 / $1,500.00	Professional		$414.74	$639.62	$1,500.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $464.25 / $464.25 / $1,027.06	Facility		$464.25	$464.25	$1,027.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $606.96 / $1,121.80	Professional		$427.42	$606.96	$1,121.80