Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.12 / $1,311.61 / $3,105.70	Facility		$932.12	$1,311.61	$3,105.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.27 / $1,214.63 / $1,639.75	Professional		$951.27	$1,214.63	$1,639.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.48 / $1,214.63 / $1,214.63	Professional		$1,092.48	$1,214.63	$1,214.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,030.64 / $1,030.64 / $1,133.70	Facility		$1,030.64	$1,030.64	$1,133.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,030.64 / $1,030.64 / $1,030.64	Professional		$1,030.64	$1,030.64	$1,030.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.16 / $1,238.93 / $1,238.93	Facility		$1,062.16	$1,238.93	$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 $1,166.05 / $1,457.56 / $1,530.44	Professional		$1,166.05	$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 $1,217.22 / $1,217.22 / $1,603.31	Facility		$1,217.22	$1,217.22	$1,603.31
Highmark BCBS 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
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,238.93 / $1,331.81	Facility		$597.00	$1,238.93	$1,331.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,518.28	Professional		$1,238.93	$1,238.93	$1,518.28
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,457.56	Professional		$485.85	$1,214.63	$1,457.56
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 $672.60 / $1,238.93 / $1,287.51	Professional		$672.60	$1,238.93	$1,287.51