Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.20 / $790.00 / $2,986.46	Facility		$382.20	$790.00	$2,986.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.52 / $440.90 / $690.54	Professional		$363.52	$440.90	$690.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $394.87 / $1,041.04	Professional		$303.45	$394.87	$1,041.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.29 / $207.29 / $314.81	Facility		$207.29	$207.29	$314.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $314.81 / $522.10	Professional		$207.29	$314.81	$522.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $821.58 / $1,051.27	Facility		$436.71	$821.58	$1,051.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.47 / $706.87 / $1,830.40	Professional		$356.47	$706.87	$1,830.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $319.00 / $654.82	Facility		$211.25	$319.00	$654.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.42 / $527.79 / $817.96	Professional		$394.42	$527.79	$817.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.58 / $146.58 / $146.58	Facility		$146.58	$146.58	$146.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.99 / $411.93 / $798.97	Professional		$307.99	$411.93	$798.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $393.78 / $479.34	Facility		$309.58	$393.78	$479.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $821.58 / $1,051.27	Facility		$392.00	$821.58	$1,051.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $613.57 / $1,358.15	Professional		$367.25	$613.57	$1,358.15
United Facility/Professional Professional Modifier Low / Median / High Price $386.19 / $493.20 / $1,148.75	Professional		$386.19	$493.20	$1,148.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $438.43 / $438.43 / $736.62	Facility		$438.43	$438.43	$736.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $337.05 / $550.74 / $962.88	Professional		$337.05	$550.74	$962.88