Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $879.08 / $1,069.43	Professional		$592.00	$879.08	$1,069.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.58 / $803.58 / $1,296.73	Professional		$803.58	$803.58	$1,296.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $824.78 / $1,099.70	Facility		$109.98	$824.78	$1,099.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $824.78 / $1,099.70	Professional		$109.98	$824.78	$1,099.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Facility		$670.25	$670.25	$897.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $918.00	Professional		$569.71	$670.25	$918.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $604.15 / $730.82 / $944.38	Professional		$604.15	$730.82	$944.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.84 / $1,120.83 / $1,180.48	Professional		$1,098.84	$1,120.83	$1,180.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.14 / $801.14 / $801.14	Professional		$801.14	$801.14	$801.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Facility		$670.25	$670.25	$897.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $918.00	Professional		$569.71	$670.25	$918.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.64 / $657.43 / $1,013.41	Professional		$367.64	$657.43	$1,013.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,120.83 / $1,120.83 / $1,120.83	Facility		$1,120.83	$1,120.83	$1,120.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,120.83 / $1,120.83 / $1,180.48	Professional		$1,120.83	$1,120.83	$1,180.48