Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $1,000.40 / $2,205.39	Professional		$626.79	$1,000.40	$2,205.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.57 / $1,685.57 / $2,106.96	Professional		$1,685.57	$1,685.57	$2,106.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $190.76 / $2,479.88	Facility		$190.76	$190.76	$2,479.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $190.76 / $2,479.88	Professional		$190.76	$190.76	$2,479.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,082.51	Facility		$173.31	$1,082.51	$1,082.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $1,082.51 / $1,566.00	Professional		$169.91	$1,082.51	$1,566.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.98 / $1,337.20 / $1,420.78	Professional		$1,310.98	$1,337.20	$1,420.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.91 / $1,982.91 / $1,982.91	Professional		$1,982.91	$1,982.91	$1,982.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,082.51	Facility		$173.31	$1,082.51	$1,082.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $1,082.51 / $1,566.00	Professional		$169.91	$1,082.51	$1,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $779.87 / $1,148.59 / $1,593.65	Professional		$779.87	$1,148.59	$1,593.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,337.20 / $1,337.20 / $1,337.20	Facility		$1,337.20	$1,337.20	$1,337.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,337.20 / $1,337.20 / $1,420.78	Professional		$1,337.20	$1,337.20	$1,420.78