Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.85 / $1,521.82 / $5,267.54	Facility		$896.85	$1,521.82	$5,267.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.98 / $1,214.63 / $2,614.50	Professional		$1,061.98	$1,214.63	$2,614.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,214.63 / $1,214.63	Professional		$1,101.70	$1,214.63	$1,214.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $999.28 / $999.28 / $1,099.21	Facility		$999.28	$999.28	$1,099.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $999.28 / $999.28 / $999.28	Professional		$999.28	$999.28	$999.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,049.84 / $1,081.33 / $1,238.93	Facility		$1,049.84	$1,081.33	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.56 / $1,457.56 / $2,361.25	Facility		$1,457.56	$1,457.56	$2,361.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.56 / $1,457.56 / $1,530.44	Professional		$1,457.56	$1,457.56	$1,530.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,287.51 / $1,287.51	Facility		$1,238.93	$1,287.51	$1,287.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,287.51 / $1,287.51	Professional		$1,238.93	$1,287.51	$1,287.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $1,238.93 / $1,803.72	Facility		$301.32	$1,238.93	$1,803.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.93 / $1,209.43 / $1,238.93	Professional		$1,179.93	$1,209.43	$1,238.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,081.33 / $1,238.93	Facility		$597.00	$1,081.33	$1,238.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,762.95	Professional		$1,238.93	$1,238.93	$1,762.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,702.10	Professional		$1,214.63	$1,214.63	$1,702.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,287.51	Professional		$1,238.93	$1,238.93	$1,287.51