Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $42.76 / $101.28	Facility		$29.53	$42.76	$101.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $40.20 / $54.67	Professional		$26.33	$40.20	$54.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $88.45 / $173.44	Facility		$86.72	$88.45	$173.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $133.66	Professional		$46.60	$46.60	$133.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $72.25 / $72.25	Facility		$67.19	$72.25	$72.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $102.19	Professional		$36.22	$36.22	$102.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $195.12 / $332.00	Facility		$86.72	$195.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $64.17 / $156.10	Professional		$44.79	$64.17	$156.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $52.62	Facility		$52.62	$52.62	$52.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $52.62 / $63.14	Professional		$50.66	$52.62	$63.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Facility		$14.40	$14.40	$14.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $70.34 / $70.34	Professional		$70.34	$70.34	$70.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $555.00	Facility		$49.61	$49.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $53.15 / $131.27	Professional		$36.22	$53.15	$131.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.88 / $78.08	Professional		$28.84	$44.88	$78.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $50.66 / $50.66	Facility		$46.38	$50.66	$50.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $50.66 / $53.84	Professional		$50.66	$50.66	$53.84