Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $511.22 / $978.56	Facility		$205.20	$511.22	$978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $194.75 / $370.02	Professional		$172.03	$194.75	$370.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $324.58 / $843.91	Facility		$324.58	$324.58	$843.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $177.87 / $697.85	Professional		$129.83	$177.87	$697.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.75 / $324.58 / $324.58	Facility		$194.75	$324.58	$324.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $236.94 / $324.58 / $324.58	Professional		$236.94	$324.58	$324.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.99 / $685.69 / $866.23	Facility		$396.99	$685.69	$866.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $421.77 / $1,047.74	Professional		$195.64	$421.77	$1,047.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $253.33 / $332.00 / $730.31	Facility		$253.33	$332.00	$730.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $340.81 / $593.98	Professional		$227.21	$340.81	$593.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $308.35 / $578.91	Professional		$259.66	$308.35	$578.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.93 / $1,445.93 / $1,445.93	Facility		$1,445.93	$1,445.93	$1,445.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $685.69 / $866.23	Facility		$254.50	$685.69	$866.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $405.73 / $973.74	Professional		$196.94	$405.73	$973.74
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $509.54	Professional		$136.32	$194.75	$509.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $322.82 / $344.06 / $344.06	Facility		$322.82	$344.06	$344.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $324.58 / $419.84	Professional		$275.89	$324.58	$419.84