Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.02 / $553.86 / $928.53	Facility		$250.02	$553.86	$928.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $162.90 / $325.80	Professional		$64.92	$162.90	$325.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $325.80 / $847.08	Facility		$325.80	$325.80	$847.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $141.22 / $436.26	Professional		$130.32	$141.22	$436.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $195.48 / $325.80 / $325.80	Facility		$195.48	$325.80	$325.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $237.83 / $325.80 / $325.80	Professional		$237.83	$325.80	$325.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $659.99 / $845.70	Facility		$227.66	$659.99	$845.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $246.07 / $1,570.36	Professional		$88.69	$246.07	$1,570.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $325.80 / $733.05	Facility		$70.00	$325.80	$733.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $192.22 / $596.21	Professional		$130.29	$192.22	$596.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $229.46 / $341.56	Professional		$96.08	$229.46	$341.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.13 / $606.66 / $1,124.46	Facility		$500.13	$606.66	$1,124.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $688.25 / $869.96	Facility		$227.66	$688.25	$869.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $136.37 / $504.99	Professional		$108.83	$136.37	$504.99
United Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $136.84 / $478.51	Professional		$77.43	$136.84	$478.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $294.68 / $374.66 / $374.66	Facility		$294.68	$374.66	$374.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $205.31 / $391.58	Professional		$96.08	$205.31	$391.58