Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $57.87 / $107.13	Facility		$45.27	$57.87	$107.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $67.51 / $84.32	Professional		$45.27	$67.51	$84.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $135.65 / $265.98	Facility		$132.99	$135.65	$265.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $76.87 / $210.85	Professional		$76.87	$76.87	$210.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $110.80 / $110.80	Facility		$103.04	$110.80	$110.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $110.80 / $110.80	Professional		$110.80	$110.80	$110.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $92.98	Professional		$67.88	$67.88	$92.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $294.00 / $332.00	Facility		$132.99	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $99.74 / $239.38	Professional		$68.67	$99.74	$239.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Facility		$24.24	$24.24	$24.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $79.95 / $95.36	Professional		$24.24	$79.95	$95.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $107.87 / $107.87	Professional		$107.87	$107.87	$107.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $555.00	Facility		$92.98	$92.98	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $67.88 / $213.28	Professional		$61.69	$67.88	$213.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $70.13 / $121.93	Professional		$44.23	$70.13	$121.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $79.95 / $83.08	Facility		$79.95	$79.95	$83.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $79.95 / $84.93	Professional		$24.24	$79.95	$84.93