Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $98.16 / $396.09	Facility		$42.14	$98.16	$396.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $98.16 / $119.00	Professional		$48.00	$98.16	$119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $78.53 / $98.16	Facility		$78.53	$78.53	$98.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $75.14 / $75.14	Professional		$48.00	$75.14	$75.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.34 / $52.34 / $52.34	Facility		$52.34	$52.34	$52.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $52.34 / $52.34	Professional		$52.34	$52.34	$52.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $62.19 / $222.66	Facility		$60.38	$62.19	$222.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $120.38 / $332.00	Facility		$93.00	$120.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $126.86	Professional		$93.00	$93.00	$126.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Facility		$90.54	$90.54	$90.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $98.16	Professional		$90.54	$90.54	$98.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $94.52 / $175.52	Facility		$49.32	$94.52	$175.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $94.52 / $94.52	Professional		$94.52	$94.52	$94.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $62.19 / $597.00	Facility		$62.19	$62.19	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $83.49 / $96.58	Professional		$15.00	$83.49	$96.58
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $103.33 / $127.32	Professional		$86.23	$103.33	$127.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Facility		$90.54	$90.54	$90.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $98.16	Professional		$90.54	$90.54	$98.16