Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.39 / $201.29 / $654.96	Facility		$88.39	$201.29	$654.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $106.32 / $389.83	Professional		$65.00	$106.32	$389.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $75.00 / $141.60	Professional		$61.20	$75.00	$141.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $154.22 / $154.22	Facility		$154.22	$154.22	$154.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $154.22	Professional		$154.22	$154.22	$154.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.67 / $101.63 / $134.29	Facility		$98.67	$101.63	$134.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $175.07 / $332.00	Facility		$98.31	$175.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $134.66 / $134.66	Professional		$114.47	$134.66	$134.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $108.88 / $108.88	Professional		$108.88	$108.88	$108.88
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $127.94	Professional		$36.22	$36.22	$127.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $108.89 / $317.70	Facility		$70.79	$108.89	$317.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $108.89 / $108.89	Professional		$108.89	$108.89	$108.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.63 / $101.63 / $597.00	Facility		$101.63	$101.63	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $109.99 / $109.99	Professional		$65.00	$109.99	$109.99
United Facility/Professional Professional Modifier Low / Median / High Price $430.18 / $450.58 / $607.13	Professional		$430.18	$450.58	$607.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $108.89 / $108.89	Facility		$108.88	$108.89	$108.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $108.88 / $108.89	Professional		$108.88	$108.88	$108.89