Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $865.56 / $4,946.05	Facility		$28.32	$865.56	$4,946.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.78 / $658.93 / $674.81	Professional		$547.78	$658.93	$674.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $661.57	Professional		$661.57	$661.57	$661.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $76.77 / $76.77	Professional		$76.77	$76.77	$76.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $508.38 / $674.81	Facility		$493.58	$508.38	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $479.20 / $479.20 / $776.30	Facility		$479.20	$479.20	$776.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.32 / $479.20 / $479.20	Professional		$407.32	$479.20	$479.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.20 / $497.99 / $497.99	Facility		$479.20	$497.99	$497.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.20 / $497.99 / $497.99	Professional		$479.20	$497.99	$497.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.75 / $1,550.47 / $2,813.93	Facility		$1,032.75	$1,550.47	$2,813.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $508.38 / $508.38 / $674.81	Facility		$508.38	$508.38	$674.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
United Facility/Professional Professional Modifier Low / Median / High Price $648.34 / $661.57 / $893.01	Professional		$648.34	$661.57	$893.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $479.20 / $479.20	Facility		$3.83	$479.20	$479.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $479.20 / $479.20 / $497.99	Professional		$479.20	$479.20	$497.99