Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $198.89 / $667.49	Facility		$126.11	$198.89	$667.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $164.90 / $4,815.52	Professional		$136.49	$164.90	$4,815.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.17 / $289.56 / $480.64	Professional		$233.17	$289.56	$480.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $393.94 / $423.59 / $423.59	Facility		$393.94	$423.59	$423.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $423.59 / $423.59 / $423.59	Professional		$423.59	$423.59	$423.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $277.00 / $277.00 / $19,048.00	Facility		$277.00	$277.00	$19,048.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $325.38 / $345.72	Professional		$309.89	$325.38	$345.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $555.00	Facility		$482.61	$482.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
United Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $190.48 / $385.24	Professional		$119.25	$190.48	$385.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $289.30 / $325.38 / $325.38	Facility		$289.30	$325.38	$325.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $325.38 / $325.38 / $345.72	Professional		$325.38	$325.38	$345.72