Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $168.73 / $356.89	Facility		$102.26	$168.73	$356.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $104.82 / $145.60	Professional		$51.13	$104.82	$145.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $102.26 / $265.88	Facility		$102.26	$102.26	$265.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $170.26	Professional		$40.90	$40.90	$170.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $102.26 / $102.26	Facility		$61.36	$102.26	$102.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $102.26	Professional		$102.26	$102.26	$102.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $216.03 / $357.45	Facility		$125.04	$216.03	$357.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $164.26 / $331.77	Professional		$62.00	$164.26	$331.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $163.62 / $332.00	Facility		$107.00	$163.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $107.37 / $187.14	Professional		$71.58	$107.37	$187.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $97.15 / $182.39	Professional		$81.81	$97.15	$182.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.43 / $285.43 / $455.54	Facility		$285.43	$285.43	$455.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $249.45 / $555.00	Facility		$99.71	$249.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $127.83 / $306.77	Professional		$66.47	$127.83	$306.77
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $154.97	Professional		$42.95	$61.36	$154.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.40 / $108.40 / $108.40	Facility		$108.40	$108.40	$108.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $102.26 / $120.36	Professional		$86.92	$102.26	$120.36