Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $703.99 / $2,533.15	Facility		$651.00	$703.99	$2,533.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $768.00 / $905.49	Professional		$637.42	$768.00	$905.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.93 / $586.88 / $834.31	Professional		$478.93	$586.88	$834.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,014.18 / $1,014.18 / $1,014.18	Facility		$1,014.18	$1,014.18	$1,014.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,014.18 / $1,014.18 / $1,014.18	Professional		$1,014.18	$1,014.18	$1,014.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.13 / $854.13 / $854.13	Facility		$854.13	$854.13	$854.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.69 / $1,010.60 / $2,965.92	Professional		$571.69	$1,010.60	$2,965.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $346.00 / $1,866.76	Facility		$227.97	$346.00	$1,866.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $748.82 / $1,012.20 / $1,435.33	Professional		$748.82	$1,012.20	$1,435.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $19.54	Facility		$19.54	$19.54	$19.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $835.13 / $1,425.55	Professional		$78.50	$835.13	$1,425.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,104.40 / $2,104.40 / $2,104.40	Facility		$2,104.40	$2,104.40	$2,104.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $854.13 / $854.13	Facility		$555.00	$854.13	$854.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $525.80 / $2,492.46	Professional		$364.16	$525.80	$2,492.46
United Facility/Professional Professional Modifier Low / Median / High Price $408.74 / $678.83 / $1,496.19	Professional		$408.74	$678.83	$1,496.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.31 / $785.91 / $785.91	Facility		$678.31	$785.91	$785.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $435.10 / $876.14 / $1,708.25	Professional		$435.10	$876.14	$1,708.25