Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.15 / $304.58 / $536.29	Facility		$179.15	$304.58	$536.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $235.13 / $474.14	Professional		$165.88	$235.13	$474.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $252.88 / $550.95	Professional		$195.73	$252.88	$550.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $46.96 / $294.18	Facility		$46.96	$46.96	$294.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $294.18 / $341.14	Professional		$46.96	$294.18	$341.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $696.57 / $1,838.17	Facility		$533.04	$696.57	$1,838.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $323.30 / $885.10	Professional		$184.99	$323.30	$885.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $258.66 / $501.64	Facility		$161.66	$258.66	$501.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $205.69 / $285.64 / $452.52	Professional		$205.69	$285.64	$452.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $206.87 / $356.82	Professional		$40.40	$206.87	$356.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.65 / $503.65 / $503.65	Facility		$503.65	$503.65	$503.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $696.57 / $1,785.35	Facility		$254.50	$696.57	$1,785.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $339.65 / $816.04	Professional		$190.77	$339.65	$816.04
United Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $268.57 / $592.60	Professional		$188.85	$268.57	$592.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $238.73 / $238.73 / $604.13	Facility		$238.73	$238.73	$604.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $300.72 / $604.13	Professional		$166.32	$300.72	$604.13