Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.39 / $466.75 / $806.21	Facility		$104.39	$466.75	$806.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $224.56 / $700.00	Professional		$90.00	$224.56	$700.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $735.49	Facility		$282.88	$282.88	$735.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $113.15 / $568.59	Professional		$70.34	$113.15	$568.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $282.88 / $282.88	Facility		$169.73	$282.88	$282.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Professional		$282.88	$282.88	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.09 / $597.58 / $988.32	Facility		$346.09	$597.58	$988.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $454.87 / $918.19	Professional		$171.75	$454.87	$918.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $282.89 / $636.48	Facility		$138.00	$282.89	$636.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $297.02 / $528.99	Professional		$198.02	$297.02	$528.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $268.74 / $504.53	Professional		$226.30	$268.74	$504.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.32 / $582.32 / $582.32	Facility		$582.32	$582.32	$582.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $690.45 / $988.32	Facility		$254.50	$690.45	$988.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $353.60 / $776.29	Professional		$95.00	$353.60	$776.29
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $424.32	Professional		$118.81	$169.73	$424.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $299.85 / $299.85 / $299.85	Facility		$299.85	$299.85	$299.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $282.88 / $332.95	Professional		$240.45	$282.88	$332.95