Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $933.25	Facility		$436.52	$758.58	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $912.01	Professional		$467.74	$741.31	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $1,513.56	Professional		$758.58	$776.25	$1,513.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $53,703.18	Facility		$1,230.27	$1,230.27	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,096.48	Facility		$630.96	$630.96	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $794.33	Professional		$676.08	$794.33	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Professional		$645.65	$691.83	$691.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $794.33	Facility		$323.59	$691.83	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $794.33	Professional		$128.82	$162.18	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $794.33	Facility		$645.65	$645.65	$794.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $794.33	Professional		$645.65	$691.83	$794.33