Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.43 / $1,459.78 / $1,876.44	Professional		$954.43	$1,459.78	$1,876.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,431.26 / $1,468.86 / $2,278.42	Professional		$1,431.26	$1,468.86	$2,278.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $187.05 / $1,402.99 / $1,870.65	Facility		$187.05	$1,402.99	$1,870.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $1,402.99 / $1,870.65	Professional		$187.05	$1,402.99	$1,870.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,629.32	Facility		$1,217.05	$1,217.05	$1,629.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,217.05 / $2,148.75	Professional		$1,034.49	$1,217.05	$2,148.75
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 $1,106.47 / $1,276.09 / $1,641.86	Professional		$1,106.47	$1,276.09	$1,641.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.59 / $1,807.02 / $1,903.17	Professional		$1,771.59	$1,807.02	$1,903.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.26 / $1,467.26 / $1,467.26	Professional		$1,467.26	$1,467.26	$1,467.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,629.32	Facility		$1,217.05	$1,217.05	$1,629.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,073.45 / $2,148.75	Professional		$1,034.49	$1,073.45	$2,148.75
United Facility/Professional Professional Modifier Low / Median / High Price $644.94 / $1,121.06 / $1,771.59	Professional		$644.94	$1,121.06	$1,771.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,807.02 / $1,807.02 / $1,807.02	Facility		$1,807.02	$1,807.02	$1,807.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,807.02 / $1,807.02 / $1,903.17	Professional		$1,807.02	$1,807.02	$1,903.17