Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.66 / $631.04 / $1,132.66	Facility		$327.66	$631.04	$1,132.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.69 / $315.52 / $558.24	Professional		$178.69	$315.52	$558.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.52 / $404.52 / $1,051.75	Facility		$404.52	$404.52	$1,051.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $161.81 / $752.41	Professional		$161.81	$161.81	$752.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $404.52 / $404.52	Facility		$242.71	$404.52	$404.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.30 / $404.52 / $404.52	Professional		$295.30	$404.52	$404.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.76 / $854.56 / $1,079.53	Facility		$494.76	$854.56	$1,079.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $565.90 / $1,313.04	Professional		$242.79	$565.90	$1,313.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $332.00 / $910.17	Facility		$136.00	$332.00	$910.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $422.04 / $740.27	Professional		$283.16	$422.04	$740.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.84 / $384.29 / $733.51	Professional		$343.84	$384.29	$733.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.34 / $238.34 / $239.44	Facility		$238.34	$238.34	$239.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $854.56 / $1,079.53	Facility		$254.50	$854.56	$1,079.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $487.59 / $1,213.56	Professional		$246.66	$487.59	$1,213.56
United Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $242.71 / $627.01	Professional		$169.90	$242.71	$627.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $428.79 / $528.02	Facility		$325.14	$428.79	$528.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $343.84 / $404.52 / $556.27	Professional		$343.84	$404.52	$556.27