Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.64 / $83.90 / $201.86	Facility		$65.64	$83.90	$201.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $103.57 / $121.55	Professional		$65.64	$103.57	$121.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $196.66 / $385.60	Facility		$192.80	$196.66	$385.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $318.64	Professional		$119.57	$119.57	$318.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $149.38 / $160.63 / $160.63	Facility		$149.38	$160.63	$160.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $160.63 / $160.63	Professional		$160.63	$160.63	$160.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $138.33	Professional		$100.98	$100.98	$138.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $327.76 / $433.80	Facility		$192.80	$327.76	$433.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $144.60 / $347.04	Professional		$99.55	$144.60	$347.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $115.91 / $138.26	Professional		$70.70	$115.91	$138.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $156.38 / $156.38	Professional		$156.38	$156.38	$156.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $555.00	Facility		$138.33	$138.33	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $114.87 / $315.47	Professional		$100.98	$114.87	$315.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $108.17 / $176.34	Professional		$64.12	$108.17	$176.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $115.91 / $120.45	Facility		$115.91	$115.91	$120.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $115.91 / $123.15	Professional		$70.70	$115.91	$123.15