Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $26.42 / $56.62	Facility		$23.53	$26.42	$56.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $26.42 / $51.14	Professional		$16.80	$26.42	$51.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $54.08 / $108.16	Facility		$54.08	$54.08	$108.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $90.04	Professional		$34.94	$34.94	$90.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $45.05 / $45.05	Facility		$41.90	$45.05	$45.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $42.48	Professional		$26.43	$26.43	$42.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $121.68 / $332.00	Facility		$54.08	$121.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $49.75 / $98.53	Professional		$31.91	$49.75	$98.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $33.56 / $45.05	Professional		$31.59	$33.56	$45.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.98 / $286.98 / $286.98	Facility		$286.98	$286.98	$286.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $43.86 / $43.86	Professional		$43.86	$43.86	$43.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $555.00	Facility		$36.21	$36.21	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $32.19 / $78.28	Professional		$26.43	$32.19	$78.28
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.38 / $48.68	Professional		$17.98	$31.38	$48.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $31.59 / $41.56	Facility		$31.59	$31.59	$41.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $31.59 / $41.02	Professional		$31.59	$31.59	$41.02