Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $135.10 / $233.36	Facility		$69.59	$135.10	$233.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $48.11 / $81.88	Professional		$38.95	$48.11	$81.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $81.88 / $212.89	Facility		$81.88	$81.88	$212.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $49.53 / $138.47	Professional		$34.18	$49.53	$138.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $81.88 / $81.88	Facility		$49.13	$81.88	$81.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $81.88 / $81.88	Professional		$59.77	$81.88	$81.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $166.05 / $212.78	Facility		$57.22	$166.05	$212.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $78.56 / $394.66	Professional		$51.40	$78.56	$394.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $106.44 / $332.00	Facility		$42.00	$106.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $49.13 / $149.84	Professional		$32.75	$49.13	$149.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $77.79 / $115.94	Professional		$57.65	$77.79	$115.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $233.65 / $304.80	Facility		$102.00	$233.65	$304.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $200.06 / $294.61	Facility		$57.22	$200.06	$294.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $72.12 / $147.85	Professional		$55.54	$72.12	$147.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $45.03 / $120.26	Professional		$34.39	$45.03	$120.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $94.16 / $176.81	Facility		$94.16	$94.16	$176.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $85.84 / $137.66	Professional		$57.65	$85.84	$137.66