Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.10 / $1,252.43 / $2,163.29	Facility		$663.10	$1,252.43	$2,163.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $570.79 / $786.45	Professional		$531.34	$570.79	$786.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $1,973.53	Facility		$759.05	$759.05	$1,973.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.22 / $500.00 / $1,552.03	Professional		$459.22	$500.00	$1,552.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $759.05	Facility		$455.43	$759.05	$759.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $795.00	Professional		$759.05	$759.05	$795.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.40 / $1,536.91 / $1,969.39	Facility		$530.40	$1,536.91	$1,969.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $1,027.09 / $2,462.54	Professional		$457.22	$1,027.09	$2,462.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $986.77 / $1,707.86	Facility		$319.00	$986.77	$1,707.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $638.74 / $1,389.06	Professional		$349.16	$638.74	$1,389.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.65 / $721.10 / $893.40	Professional		$539.65	$721.10	$893.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $879.32 / $1,930.72	Facility		$32.08	$879.32	$1,930.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $505.79 / $505.79	Professional		$505.79	$505.79	$505.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $507.33 / $1,603.49 / $1,969.39	Facility		$507.33	$1,603.49	$1,969.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $768.17 / $2,158.27	Professional		$493.38	$768.17	$2,158.27
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,176.53	Professional		$318.80	$455.43	$1,176.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $804.59 / $804.59 / $1,089.28	Facility		$804.59	$804.59	$1,089.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $515.03 / $759.05 / $893.40	Professional		$515.03	$759.05	$893.40