Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $300.02 / $538.50	Facility		$163.47	$300.02	$538.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $163.47 / $323.12	Professional		$87.00	$163.47	$323.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $192.32 / $500.03	Facility		$192.32	$192.32	$500.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $100.87 / $330.79	Professional		$76.93	$100.87	$330.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $192.32 / $192.32	Facility		$115.39	$192.32	$192.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $192.32 / $192.32	Professional		$140.38	$192.32	$192.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.32 / $406.28 / $513.22	Facility		$235.32	$406.28	$513.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $275.57 / $623.80	Professional		$115.95	$275.57	$623.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $319.00 / $432.72	Facility		$192.32	$319.00	$432.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $200.65 / $351.95	Professional		$134.62	$200.65	$351.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $192.32 / $192.32	Facility		$192.32	$192.32	$192.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $192.32 / $248.09	Professional		$163.47	$192.32	$248.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.79 / $577.79 / $577.79	Facility		$577.79	$577.79	$577.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $469.10 / $597.00	Facility		$187.52	$469.10	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $313.07 / $1,170.00	Professional		$117.66	$313.07	$1,170.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $115.39 / $301.91	Professional		$80.77	$115.39	$301.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $203.86 / $203.86	Facility		$42.62	$203.86	$203.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $192.32 / $248.09	Professional		$163.47	$192.32	$248.09