Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.85 / $348.06 / $584.66	Facility		$253.85	$348.06	$584.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $313.51 / $421.70	Professional		$253.85	$313.51	$421.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.81 / $275.45 / $568.28	Professional		$221.81	$275.45	$568.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $463.65 / $463.65 / $463.65	Facility		$463.65	$463.65	$463.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $463.65 / $463.65 / $463.65	Professional		$463.65	$463.65	$463.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $409.85 / $921.85	Professional		$275.52	$409.85	$921.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $332.00 / $505.15	Facility		$230.00	$332.00	$505.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.66 / $438.74 / $694.07	Professional		$323.66	$438.74	$694.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $306.14 / $348.94	Facility		$306.14	$306.14	$348.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $410.25 / $694.02	Professional		$250.12	$410.25	$694.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.06 / $335.06 / $335.06	Professional		$335.06	$335.06	$335.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $398.32 / $804.82	Professional		$275.52	$398.32	$804.82
United Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $329.04 / $691.00	Professional		$250.79	$329.04	$691.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $348.94 / $715.11	Facility		$306.14	$348.94	$715.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $410.25 / $811.76	Professional		$250.12	$410.25	$811.76