Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $230.23 / $539.35	Facility		$90.16	$230.23	$539.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $103.11 / $133.36	Professional		$75.59	$103.11	$133.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $370.84	Facility		$142.63	$142.63	$370.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $318.86	Professional		$57.05	$57.05	$318.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $142.63 / $142.63	Facility		$85.58	$142.63	$142.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $142.63 / $142.63	Professional		$104.12	$142.63	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $301.31 / $370.34	Facility		$171.16	$301.31	$370.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $191.25 / $460.78	Professional		$87.19	$191.25	$460.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $195.13 / $332.00	Facility		$120.45	$195.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $148.81 / $261.01	Professional		$99.84	$148.81	$261.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $142.63 / $258.63	Professional		$121.24	$142.63	$258.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $225.00 / $357.70	Facility		$123.16	$225.00	$357.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $348.21 / $498.30	Facility		$130.72	$348.21	$498.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $183.99 / $427.89	Professional		$88.81	$183.99	$427.89
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $221.08	Professional		$59.90	$85.58	$221.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $151.19 / $198.71	Facility		$151.19	$151.19	$198.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $147.91 / $204.69	Professional		$121.24	$147.91	$204.69