Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $741.31	Facility		$181.97	$302.00	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $954.99	Professional		$223.87	$295.12	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $295.12	Professional		$281.84	$295.12	$295.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $323.59 / $50,118.72	Facility		$281.84	$323.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,548.82	Professional		$323.59	$323.59	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $645.65	Facility		$309.03	$309.03	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $331.13	Professional		$302.00	$302.00	$331.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $380.19	Professional		$363.08	$371.54	$380.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $446.68	Professional		$288.40	$323.59	$446.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $302.00 / $316.23	Facility		$144.54	$302.00	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $363.08	Professional		$134.90	$302.00	$363.08