Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $202.61 / $363.18	Facility		$121.06	$202.61	$363.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $108.32 / $180.95	Professional		$82.68	$108.32	$180.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $127.43 / $331.32	Facility		$127.43	$127.43	$331.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $104.49 / $308.48	Professional		$54.99	$104.49	$308.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $127.43 / $127.43	Facility		$76.45	$127.43	$127.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $127.43 / $127.43	Professional		$93.02	$127.43	$127.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $269.20 / $339.97	Facility		$155.76	$269.20	$339.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $197.82 / $446.25	Professional		$77.69	$197.82	$446.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $165.66 / $346.00	Facility		$63.00	$165.66	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $132.94 / $233.20	Professional		$89.20	$132.94	$233.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $127.43 / $231.07	Professional		$108.32	$127.43	$231.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $139.88 / $271.45	Facility		$139.88	$139.88	$271.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $310.74 / $458.80	Facility		$124.25	$310.74	$458.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $182.32 / $408.69	Professional		$89.36	$182.32	$408.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $76.45 / $197.52	Professional		$53.52	$76.45	$197.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $135.08 / $135.08 / $244.34	Facility		$135.08	$135.08	$244.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $127.43 / $257.39	Professional		$108.32	$127.43	$257.39