Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.53 / $177.63 / $854.49	Facility		$82.53	$177.63	$854.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $99.94 / $278.25	Professional		$79.94	$99.94	$278.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $91.39 / $231.53	Professional		$72.06	$91.39	$231.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $104.46	Facility		$43.48	$43.48	$104.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $104.46 / $147.94	Professional		$43.48	$104.46	$147.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $246.67 / $635.69	Facility		$122.03	$246.67	$635.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $141.47 / $378.70	Professional		$80.41	$141.47	$378.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $105.75 / $332.00	Facility		$59.04	$105.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $127.94 / $202.20	Professional		$92.10	$127.94	$202.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $117.15 / $209.96	Professional		$75.83	$117.15	$209.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $142.06 / $181.20	Facility		$103.80	$142.06	$181.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $246.67 / $597.00	Facility		$111.47	$246.67	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $144.31 / $322.62	Professional		$95.13	$144.31	$322.62
United Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $107.12 / $250.35	Professional		$79.15	$107.12	$250.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $115.21 / $263.39	Facility		$115.21	$115.21	$263.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $133.13 / $260.33	Professional		$76.61	$133.13	$260.33