Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.05 / $641.71 / $1,150.23	Facility		$343.05	$641.71	$1,150.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $343.05 / $556.95	Professional		$164.00	$343.05	$556.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $403.59 / $1,049.33	Facility		$403.59	$403.59	$1,049.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $300.61 / $815.48	Professional		$161.44	$300.61	$815.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $242.15 / $403.59 / $403.59	Facility		$242.15	$403.59	$403.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $294.62 / $403.59 / $403.59	Professional		$294.62	$403.59	$403.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.74 / $852.57 / $1,077.67	Facility		$493.74	$852.57	$1,077.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $519.15 / $1,309.54	Professional		$242.21	$519.15	$1,309.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $332.00 / $908.08	Facility		$125.00	$332.00	$908.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $421.07 / $738.57	Professional		$282.51	$421.07	$738.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $383.41 / $731.83	Professional		$323.58	$383.41	$731.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.66 / $239.66 / $239.66	Facility		$239.66	$239.66	$239.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $852.57 / $1,077.67	Facility		$254.50	$852.57	$1,077.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $246.26 / $451.60 / $1,210.77	Professional		$246.26	$451.60	$1,210.77
United Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $221.97 / $625.55	Professional		$169.51	$221.97	$625.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $427.81 / $427.81 / $484.62	Facility		$427.81	$427.81	$484.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $343.05 / $403.59 / $510.55	Professional		$343.05	$403.59	$510.55