Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $390.77 / $666.42	Facility		$302.92	$390.77	$666.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $366.53	Professional		$328.34	$328.34	$366.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.67 / $262.67 / $328.34	Facility		$262.67	$262.67	$328.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $1,420.90	Professional		$328.34	$328.34	$1,420.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $838.88 / $838.88 / $880.82	Facility		$838.88	$838.88	$880.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $838.88 / $838.88 / $838.88	Professional		$838.88	$838.88	$838.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $752.25 / $891.63	Facility		$309.75	$752.25	$891.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $464.63	Professional		$328.34	$328.34	$464.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $356.22 / $696.94	Facility		$309.75	$356.22	$696.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.73 / $356.22 / $492.51	Professional		$340.73	$356.22	$492.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $340.73	Facility		$328.34	$328.34	$340.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $340.73 / $340.73	Professional		$328.34	$340.73	$340.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,002.07 / $1,002.07	Facility		$1,002.07	$1,002.07	$1,002.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $752.25 / $891.63	Facility		$309.75	$752.25	$891.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $328.34 / $648.05	Professional		$12.00	$328.34	$648.05
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $344.13 / $502.36	Professional		$328.34	$344.13	$502.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $340.73 / $340.73 / $340.73	Facility		$340.73	$340.73	$340.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $340.73 / $340.73	Professional		$328.34	$340.73	$340.73