Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.40 / $380.81 / $993.78	Facility		$212.40	$380.81	$993.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $232.12 / $507.31	Professional		$155.13	$232.12	$507.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $161.32 / $208.76	Professional		$151.83	$161.32	$208.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $206.12 / $450.85	Professional		$162.55	$206.12	$450.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $267.64 / $267.64 / $267.64	Facility		$267.64	$267.64	$267.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $267.64 / $267.64	Professional		$267.64	$267.64	$267.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.61 / $1,550.08 / $1,722.31	Facility		$216.61	$1,550.08	$1,722.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $257.35 / $571.49	Professional		$162.88	$257.35	$571.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $282.00 / $488.27	Facility		$180.83	$282.00	$488.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $223.01 / $400.42	Professional		$178.43	$223.01	$400.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.26 / $147.26 / $147.26	Facility		$147.26	$147.26	$147.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $182.01 / $357.72	Professional		$147.00	$182.01	$357.72
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $206.16 / $233.64	Professional		$169.92	$206.16	$233.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.60 / $697.60 / $697.60	Facility		$697.60	$697.60	$697.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $213.04 / $461.15	Professional		$206.66	$213.04	$461.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $216.61 / $555.00 / $1,722.31	Facility		$216.61	$555.00	$1,722.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $268.82 / $614.87	Professional		$174.86	$268.82	$614.87
United Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $209.31 / $466.04	Professional		$152.84	$209.31	$466.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.13 / $204.13 / $576.77	Facility		$204.13	$204.13	$576.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $249.84 / $552.36	Professional		$147.00	$249.84	$552.36