Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $823.35 / $1,422.15	Facility		$499.00	$823.35	$1,422.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.22 / $546.44 / $1,104.51	Professional		$389.22	$546.44	$1,104.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $499.00 / $1,297.40	Facility		$499.00	$499.00	$1,297.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $256.05 / $912.17	Professional		$199.60	$256.05	$912.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $299.39 / $499.00 / $499.00	Facility		$299.39	$499.00	$499.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $499.00	Professional		$499.00	$499.00	$499.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $1,054.14 / $1,743.46	Facility		$610.29	$1,054.14	$1,743.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.97 / $802.34 / $1,722.93	Professional		$302.97	$802.34	$1,722.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $403.20 / $1,122.75	Facility		$252.00	$403.20	$1,122.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $523.95 / $933.13	Professional		$349.30	$523.95	$933.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $474.05 / $889.99	Professional		$399.20	$474.05	$889.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,222.94 / $2,222.94 / $2,222.94	Facility		$2,222.94	$2,222.94	$2,222.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,217.43 / $1,743.46	Facility		$254.50	$1,217.43	$1,743.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $324.35 / $884.03 / $1,609.90	Professional		$324.35	$884.03	$1,609.90
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $756.27	Professional		$209.58	$299.39	$756.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $528.94 / $528.94	Facility		$33.65	$528.94	$528.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $499.00 / $587.32	Professional		$399.20	$499.00	$587.32