Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.90 / $574.44 / $2,408.67	Facility		$357.90	$574.44	$2,408.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $471.22 / $501.06	Professional		$448.78	$471.22	$501.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.47 / $348.29 / $730.76	Professional		$280.47	$348.29	$730.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $515.26 / $515.26 / $515.26	Facility		$515.26	$515.26	$515.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $515.26 / $515.26 / $515.26	Professional		$515.26	$515.26	$515.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $271.04 / $371.76 / $780.70	Facility		$271.04	$371.76	$780.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $353.17 / $462.36 / $701.51	Professional		$353.17	$462.36	$701.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $80.43 / $80.43	Facility		$80.43	$80.43	$80.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $422.89 / $650.83	Professional		$80.43	$422.89	$650.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.83 / $944.35 / $1,920.05	Facility		$575.83	$944.35	$1,920.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.36 / $563.36 / $563.36	Professional		$563.36	$563.36	$563.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $254.50 / $74,999.25	Facility		$254.50	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Professional		$650.00	$650.00	$650.00
United Facility/Professional Facility Modifier Low / Median / High Price $499.53 / $1,322.26 / $1,745.11	Facility		$499.53	$1,322.26	$1,745.11
United Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $393.19 / $803.43	Professional		$309.45	$393.19	$803.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $374.01 / $374.01 / $611.30	Facility		$374.01	$374.01	$611.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $319.82 / $500.23 / $890.31	Professional		$319.82	$500.23	$890.31