Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.86 / $571.76 / $2,401.67	Facility		$356.86	$571.76	$2,401.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.69 / $469.02 / $499.60	Professional		$446.69	$469.02	$499.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $347.24 / $728.56	Professional		$279.62	$347.24	$728.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $516.24 / $516.24 / $516.24	Facility		$516.24	$516.24	$516.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $516.24 / $516.24 / $516.24	Professional		$516.24	$516.24	$516.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $271.85 / $373.40 / $784.14	Facility		$271.85	$373.40	$784.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.31 / $463.74 / $703.60	Professional		$338.31	$463.74	$703.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $64.34 / $64.34	Facility		$64.34	$64.34	$64.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $414.55 / $648.90	Professional		$64.34	$414.55	$648.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.98 / $946.11 / $2,941.88	Facility		$509.98	$946.11	$2,941.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.69 / $450.69 / $450.69	Professional		$450.69	$450.69	$450.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $254.50 / $74,999.25	Facility		$254.50	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Professional		$650.00	$650.00	$650.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.12 / $414.59 / $839.84	Professional		$306.12	$414.59	$839.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $372.66 / $372.66 / $609.99	Facility		$372.66	$372.66	$609.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $456.10 / $887.09	Professional		$318.87	$456.10	$887.09