Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $59.55 / $143.26	Facility		$46.58	$59.55	$143.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $81.37 / $148.15	Professional		$46.58	$81.37	$148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.84 / $139.58 / $273.68	Facility		$136.84	$139.58	$273.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $82.18 / $219.00	Professional		$82.18	$82.18	$219.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $114.01 / $114.01	Facility		$106.03	$114.01	$114.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $114.01 / $114.01	Professional		$114.01	$114.01	$114.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $112.88	Professional		$63.42	$63.42	$112.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.84 / $294.00 / $332.00	Facility		$136.84	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $102.63 / $246.31	Professional		$70.66	$102.63	$246.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $79.12 / $98.13	Professional		$75.75	$79.12	$98.13
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $49.24 / $49.24	Professional		$49.24	$49.24	$49.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $110.99 / $110.99	Professional		$110.99	$110.99	$110.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $555.00	Facility		$81.70	$86.88	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $81.70 / $174.41	Professional		$62.85	$81.70	$174.41
United Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $76.01 / $125.16	Professional		$45.51	$76.01	$125.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $79.12 / $85.49	Facility		$79.12	$79.12	$85.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $79.12 / $84.06	Professional		$75.75	$79.12	$84.06