Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $514.04 / $922.63	Facility		$266.89	$514.04	$922.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $257.02 / $405.30	Professional		$179.58	$257.02	$405.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $856.73	Facility		$329.51	$329.51	$856.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $713.32	Professional		$131.80	$131.80	$713.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $197.71 / $329.51 / $329.51	Facility		$197.71	$329.51	$329.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $240.54 / $329.51 / $329.51	Professional		$240.54	$329.51	$329.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.85 / $696.09 / $854.77	Facility		$402.85	$696.09	$854.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.46 / $441.41 / $1,063.51	Professional		$204.46	$441.41	$1,063.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $332.00 / $741.40	Facility		$278.27	$332.00	$741.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $343.78 / $603.00	Professional		$230.66	$343.78	$603.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $199.69 / $199.69	Facility		$199.69	$199.69	$199.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $313.02 / $387.83	Professional		$199.69	$313.02	$387.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.62 / $514.62 / $514.62	Facility		$514.62	$514.62	$514.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $803.69 / $854.77	Facility		$254.50	$803.69	$854.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $424.25 / $988.53	Professional		$204.98	$424.25	$988.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $499.40	Professional		$138.38	$197.71	$499.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $349.28 / $349.28 / $459.09	Facility		$349.28	$349.28	$459.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $329.51 / $459.09	Professional		$257.60	$329.51	$459.09