Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $289.69 / $536.77	Facility		$140.54	$289.69	$536.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $192.30 / $484.92	Professional		$133.13	$192.30	$484.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $231.52 / $413.10	Professional		$182.92	$231.52	$413.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $328.92 / $328.92 / $328.92	Facility		$328.92	$328.92	$328.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $328.92	Professional		$328.92	$328.92	$328.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $125.00 / $258.62	Facility		$80.00	$125.00	$258.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $263.29 / $639.07	Professional		$194.61	$263.29	$639.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $261.30 / $570.94	Facility		$159.00	$261.30	$570.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $391.95	Professional		$45.00	$45.00	$391.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.42 / $58.42 / $292.00	Facility		$58.42	$58.42	$292.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $188.59 / $314.64	Professional		$61.34	$188.59	$314.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $294.83 / $294.83	Facility		$294.83	$294.83	$294.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $350.00 / $597.00	Facility		$80.00	$350.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $265.76 / $562.79	Professional		$173.38	$265.76	$562.79
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $217.42 / $458.15	Professional		$168.72	$217.42	$458.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $217.75 / $247.43 / $391.74	Facility		$217.75	$247.43	$391.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $234.81 / $489.23	Professional		$173.40	$234.81	$489.23