Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $213.72 / $383.60	Facility		$105.14	$213.72	$383.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $106.86 / $198.65	Professional		$74.67	$106.86	$198.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $356.20	Facility		$137.00	$137.00	$356.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $79.30 / $312.36	Professional		$54.80	$79.30	$312.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $137.00 / $137.00	Facility		$82.20	$137.00	$137.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $137.00 / $137.00	Professional		$100.01	$137.00	$137.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $277.70 / $355.84	Facility		$164.40	$277.70	$355.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $177.69 / $442.75	Professional		$82.50	$177.69	$442.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $250.00 / $346.00	Facility		$137.00	$250.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $142.93 / $250.71	Professional		$95.90	$142.93	$250.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.83 / $83.83 / $83.83	Facility		$83.83	$83.83	$83.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $130.15 / $161.25	Professional		$83.83	$130.15	$161.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $456.00 / $456.00	Facility		$456.00	$456.00	$456.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.56 / $334.58 / $366.06	Facility		$125.56	$334.58	$366.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $171.25 / $411.00	Professional		$83.24	$171.25	$411.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $215.07	Professional		$57.54	$82.20	$215.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $145.22 / $177.44	Facility		$145.22	$145.22	$177.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $137.00 / $177.44	Professional		$107.07	$137.00	$177.44