Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $232.90 / $573.09	Facility		$110.97	$232.90	$573.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $102.75 / $334.77	Professional		$39.31	$102.75	$334.77
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 $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.60 / $277.70 / $355.84	Facility		$167.60	$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 $106.92 / $180.00 / $332.00	Facility		$106.92	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $143.85 / $250.71	Professional		$95.90	$143.85	$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 $120.68 / $333.18 / $1,133.74	Facility		$120.68	$333.18	$1,133.74
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 / $207.63	Professional		$57.54	$82.20	$207.63
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 $116.45 / $137.00 / $187.84	Professional		$116.45	$137.00	$187.84