Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.83 / $907.63 / $3,238.58	Facility		$241.83	$907.63	$3,238.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $242.42 / $383.60	Professional		$194.32	$242.42	$383.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $255.86 / $544.95	Professional		$212.40	$255.86	$544.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $310.89 / $310.89	Facility		$310.89	$310.89	$310.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $310.89 / $310.89	Professional		$310.89	$310.89	$310.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.41 / $586.04 / $1,948.67	Facility		$486.41	$586.04	$1,948.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $339.64 / $863.03	Professional		$226.77	$339.64	$863.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $309.93 / $933.67	Facility		$204.00	$309.93	$933.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $284.26 / $506.22	Professional		$161.19	$284.26	$506.22
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 / $214.15 / $419.79	Professional		$64.34	$214.15	$419.79
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $280.91 / $280.91	Professional		$221.61	$280.91	$280.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.27 / $653.95 / $1,283.53	Facility		$268.27	$653.95	$1,283.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $256.36 / $256.36	Professional		$256.36	$256.36	$256.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $256.87 / $586.04 / $1,834.90	Facility		$256.87	$586.04	$1,834.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $296.99 / $822.64	Professional		$110.41	$296.99	$822.64
United Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $270.13 / $718.51	Professional		$185.33	$270.13	$718.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $241.44 / $241.44 / $418.67	Facility		$241.44	$241.44	$418.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $295.49 / $574.73	Professional		$197.93	$295.49	$574.73