Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $115.98 / $214.68	Facility		$90.73	$115.98	$214.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $149.49 / $186.69	Professional		$90.73	$149.49	$186.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.51 / $271.83 / $533.02	Facility		$266.51	$271.83	$533.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $389.29	Professional		$125.00	$125.00	$389.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $222.04 / $222.04	Facility		$206.50	$222.04	$222.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.04 / $222.04 / $222.04	Professional		$222.04	$222.04	$222.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $191.33	Professional		$128.34	$128.34	$191.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $266.51 / $332.00 / $599.65	Facility		$266.51	$332.00	$599.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $199.88 / $479.72	Professional		$156.75	$199.88	$479.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.94 / $195.94 / $195.94	Facility		$195.94	$195.94	$195.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $170.25 / $222.04	Professional		$160.22	$170.25	$222.04
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $131.28 / $215.53	Professional		$131.28	$131.28	$215.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.17 / $350.17 / $350.17	Facility		$350.17	$350.17	$350.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $216.17 / $216.17	Professional		$216.17	$216.17	$216.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $555.00	Facility		$175.81	$175.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $128.34 / $390.44	Professional		$123.64	$128.34	$390.44
United Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $144.04 / $243.76	Professional		$88.64	$144.04	$243.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $160.22 / $166.51	Facility		$160.22	$160.22	$166.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $160.22 / $195.94	Professional		$160.22	$160.22	$195.94