Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,513.56 / $2,041.74	Professional		$707.95	$1,513.56	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,715.35	Professional		$1,905.46	$1,905.46	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,621.81 / $2,137.96	Facility		$213.80	$1,621.81	$2,137.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,621.81 / $2,137.96	Professional		$213.80	$1,621.81	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,905.46	Facility		$1,445.44	$1,445.44	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,905.46	Professional		$1,230.27	$1,445.44	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,398.83	Professional		$1,348.96	$1,698.24	$2,398.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,137.96	Professional		$1,513.56	$1,778.28	$2,137.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $870.96 / $1,621.81	Facility		$100.00	$870.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,137.96	Professional		$851.14	$1,288.25	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,778.28	Facility		$1,479.11	$1,513.56	$1,778.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,778.28	Professional		$1,513.56	$1,584.89	$1,778.28