Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.84 / $868.94 / $1,387.52	Facility		$621.84	$868.94	$1,387.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $772.53 / $2,228.23	Professional		$601.90	$772.53	$2,228.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.27 / $728.05 / $1,636.17	Professional		$586.27	$728.05	$1,636.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,109.31 / $1,109.31 / $1,109.31	Facility		$1,109.31	$1,109.31	$1,109.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,109.31 / $1,109.31 / $1,109.31	Professional		$1,109.31	$1,109.31	$1,109.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $1,147.19 / $2,376.21	Professional		$646.04	$1,147.19	$2,376.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $450.00 / $1,187.08	Facility		$332.00	$450.00	$1,187.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $791.53 / $1,102.41 / $2,028.45	Professional		$791.53	$1,102.41	$2,028.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.45 / $719.45 / $719.45	Facility		$719.45	$719.45	$719.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.32 / $897.94 / $1,560.34	Professional		$658.32	$897.94	$1,560.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.79 / $1,409.79 / $1,588.16	Professional		$1,409.79	$1,409.79	$1,588.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $883.74 / $883.74	Facility		$597.00	$883.74	$883.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,113.09 / $2,154.15	Professional		$750.00	$1,113.09	$2,154.15
United Facility/Professional Professional Modifier Low / Median / High Price $579.73 / $869.01 / $1,749.28	Professional		$579.73	$869.01	$1,749.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $719.45 / $719.45 / $719.45	Facility		$719.45	$719.45	$719.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $658.32 / $1,138.83 / $1,890.71	Professional		$658.32	$1,138.83	$1,890.71