Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.10 / $841.10 / $2,781.75	Facility		$488.10	$841.10	$2,781.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.11 / $522.60 / $1,758.64	Professional		$373.11	$522.60	$1,758.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.36 / $429.24 / $1,008.58	Professional		$328.36	$429.24	$1,008.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $598.72 / $598.72 / $598.72	Facility		$598.72	$598.72	$598.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $598.72 / $598.72 / $598.72	Professional		$598.72	$598.72	$598.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.67 / $3,411.72 / $46,574.00	Facility		$483.67	$3,411.72	$46,574.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.36 / $577.84 / $1,268.16	Professional		$380.36	$577.84	$1,268.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $448.74 / $1,079.66	Facility		$332.00	$448.74	$1,079.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $404.02 / $493.38 / $888.84	Professional		$404.02	$493.38	$888.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $404.02 / $795.82	Professional		$101.00	$404.02	$795.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.29 / $503.53 / $814.67	Professional		$478.29	$503.53	$814.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $600.77 / $49,369.00	Facility		$254.50	$600.77	$49,369.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.02 / $610.38 / $1,368.77	Professional		$436.02	$610.38	$1,368.77
United Facility/Professional Professional Modifier Low / Median / High Price $349.40 / $460.79 / $963.65	Professional		$349.40	$460.79	$963.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $454.14 / $454.14 / $1,312.87	Facility		$454.14	$454.14	$1,312.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $332.42 / $555.83 / $1,228.85	Professional		$332.42	$555.83	$1,228.85