Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,202.26	Professional		$512.86	$912.01	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,570.40	Professional		$1,202.26	$1,202.26	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,698.24	Facility		$128.82	$128.82	$1,698.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,698.24	Professional		$128.82	$128.82	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $851.14	Professional		$549.54	$645.65	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,230.27	Professional		$977.24	$1,096.48	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,230.27	Professional		$1,096.48	$1,174.90	$1,230.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $660.69 / $1,096.48	Facility		$69.18	$660.69	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,258.93	Professional		$501.19	$870.96	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,230.27	Facility		$1,071.52	$1,096.48	$1,230.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,230.27	Professional		$1,096.48	$1,174.90	$1,230.27