Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $140.47 / $284.39	Facility		$63.17	$140.47	$284.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $76.45 / $102.07	Professional		$57.98	$76.45	$102.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $193.26	Facility		$74.33	$74.33	$193.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $65.95 / $238.31	Professional		$35.92	$65.95	$238.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $74.33 / $74.33	Facility		$44.60	$74.33	$74.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $74.33 / $74.33	Professional		$54.26	$74.33	$74.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $157.01 / $198.39	Facility		$91.00	$157.01	$198.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $119.51 / $290.88	Professional		$49.07	$119.51	$290.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $108.99 / $332.00	Facility		$63.00	$108.99	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $77.55 / $136.02	Professional		$52.03	$77.55	$136.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $74.33 / $134.78	Professional		$63.18	$74.33	$134.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $79.08 / $321.60	Facility		$31.37	$79.08	$321.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $72.47 / $181.35 / $267.83	Facility		$72.47	$181.35	$267.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $115.21 / $239.80	Professional		$58.38	$115.21	$239.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.60 / $115.21	Professional		$31.22	$44.60	$115.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Facility		$78.79	$78.79	$78.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $74.33 / $109.39	Professional		$70.61	$74.33	$109.39