Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $170.18 / $372.34	Facility		$107.96	$170.18	$372.34
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $28.49 / $516.36 / $516.36	Facility	25	$28.49	$516.36	$516.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $161.44 / $335.68	Professional		$105.85	$161.44	$335.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $149.58 / $240.87 / $567.00	Professional	25	$149.58	$240.87	$567.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $145.53 / $298.01	Professional		$115.37	$145.53	$298.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $203.15 / $203.15 / $203.15	Facility		$203.15	$203.15	$203.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $203.15 / $289.08	Professional		$203.15	$203.15	$289.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.75 / $185.75 / $185.75	Facility		$185.75	$185.75	$185.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $201.01 / $445.16	Professional		$110.25	$201.01	$445.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $170.01 / $343.94	Facility		$64.00	$170.01	$343.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $326.47 / $494.38	Professional		$233.20	$326.47	$494.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $194.33 / $194.33	Facility		$114.61	$194.33	$194.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $203.58 / $307.63	Professional		$125.34	$203.58	$307.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $12.20 / $12.20	Facility		$12.20	$12.20	$12.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.93 / $480.93 / $480.93	Professional		$480.93	$480.93	$480.93
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $416.16 / $416.16 / $489.60	Professional	25	$416.16	$416.16	$489.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $185.75 / $185.75 / $74,999.25	Facility		$185.75	$185.75	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $243.00 / $452.53	Professional		$127.30	$243.00	$452.53
United Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $207.82 / $425.24	Professional		$143.93	$207.82	$425.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $194.33 / $239.51	Facility		$134.83	$194.33	$239.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $232.51 / $377.75	Professional		$72.06	$232.51	$377.75