Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $112.79 / $9,372.01	Facility		$67.16	$112.79	$9,372.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $90.23 / $3,340.95	Professional		$70.66	$90.23	$3,340.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $71.47 / $89.34	Facility		$71.47	$71.47	$89.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $89.34 / $253.02	Professional		$85.71	$89.34	$253.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $191.13	Facility		$182.03	$182.03	$191.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Professional		$182.03	$182.03	$182.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $89.34	Facility		$84.29	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $126.44 / $332.00	Facility		$84.29	$126.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $234.33	Professional		$89.34	$89.34	$234.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $91.03	Facility		$89.34	$89.34	$91.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $91.03	Professional		$89.34	$89.34	$91.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $545.67 / $986.79	Facility		$27.01	$545.67	$986.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $597.00	Facility		$84.29	$84.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $89.34 / $93.42	Professional		$39.54	$89.34	$93.42
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $165.82	Professional		$89.34	$94.70	$165.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Facility		$91.03	$91.03	$91.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $91.03	Professional		$89.34	$89.34	$91.03