Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $139.16 / $385.93	Facility		$76.68	$139.16	$385.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $137.41 / $200.00	Professional		$107.03	$137.41	$200.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $150.00 / $176.50	Professional		$80.00	$150.00	$176.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $92.20 / $237.65	Professional		$72.72	$92.20	$237.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $67.34 / $160.91	Facility		$67.34	$67.34	$160.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $160.91 / $228.26	Professional		$67.34	$160.91	$228.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $312.58 / $376.61	Facility		$177.46	$312.58	$376.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $205.27 / $496.12	Professional		$118.57	$205.27	$496.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $28.00 / $57.40	Facility		$21.00	$28.00	$57.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $165.89 / $213.49	Professional		$124.72	$165.89	$213.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $211.92 / $344.57	Professional		$128.83	$211.92	$344.57
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $66.73 / $122.94	Professional		$63.23	$66.73	$122.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $183.15 / $245.98	Facility		$40.67	$183.15	$245.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $70.26 / $80.61	Professional		$67.79	$70.26	$80.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $311.67 / $437.74	Facility		$177.46	$311.67	$437.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $136.18 / $434.96	Professional		$37.50	$136.18	$434.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $180.38 / $367.95	Professional		$123.20	$180.38	$367.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $168.23 / $168.23 / $253.06	Facility		$168.23	$168.23	$253.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $233.57 / $419.05	Professional		$147.04	$233.57	$419.05