Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.80 / $639.37 / $1,146.04	Facility		$341.80	$639.37	$1,146.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.76 / $341.80 / $625.40	Professional		$290.76	$341.80	$625.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $402.12 / $1,045.51	Facility		$402.12	$402.12	$1,045.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $198.58 / $933.21	Professional		$198.58	$198.58	$933.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $241.27 / $402.12 / $402.12	Facility		$241.27	$402.12	$402.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $402.12 / $402.12	Professional		$293.55	$402.12	$402.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.80 / $849.49 / $1,073.01	Facility		$491.80	$849.49	$1,073.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $650.29 / $1,610.93	Professional		$271.20	$650.29	$1,610.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $367.74 / $904.77	Facility		$227.00	$367.74	$904.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.48 / $419.53 / $735.88	Professional		$281.48	$419.53	$735.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $402.12 / $729.16	Professional		$341.80	$402.12	$729.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.48 / $1,387.87 / $1,868.46	Facility		$1,147.48	$1,387.87	$1,868.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $878.69 / $1,073.01	Facility		$254.50	$878.69	$1,073.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $623.29 / $1,296.93	Professional		$321.70	$623.29	$1,296.93
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $241.27 / $623.29	Professional		$168.89	$241.27	$623.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.25 / $426.25 / $882.21	Facility		$426.25	$426.25	$882.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $426.25 / $929.39	Professional		$382.01	$426.25	$929.39