Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $269.45 / $475.30	Facility		$129.71	$269.45	$475.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $134.68 / $245.28	Professional		$92.18	$134.68	$245.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $172.73 / $449.10	Facility		$172.73	$172.73	$449.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $132.72 / $396.22	Professional		$73.73	$132.72	$396.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.64 / $172.73 / $172.73	Facility		$103.64	$172.73	$172.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $172.73 / $172.73	Professional		$126.09	$172.73	$172.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.24 / $364.88 / $461.05	Facility		$211.24	$364.88	$461.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $265.60 / $598.11	Professional		$105.45	$265.60	$598.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $224.55 / $388.64	Facility		$46.00	$224.55	$388.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $180.21 / $316.10	Professional		$120.91	$180.21	$316.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $164.09 / $313.20	Professional		$119.34	$164.09	$313.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.20 / $601.90 / $776.88	Facility		$330.20	$601.90	$776.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.41 / $421.42 / $597.00	Facility		$168.41	$421.42	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $243.55 / $548.01	Professional		$110.00	$243.55	$548.01
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $103.64 / $271.16	Professional		$72.55	$103.64	$271.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.74 / $183.09 / $188.29	Facility		$178.74	$183.09	$188.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $172.73 / $459.01	Professional		$129.94	$172.73	$459.01