Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $169.59 / $352.15	Facility		$132.66	$169.59	$352.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $201.89 / $305.00	Professional		$132.66	$201.89	$305.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.70 / $397.49 / $779.40	Facility		$389.70	$397.49	$779.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $600.63	Professional		$206.00	$206.00	$600.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $301.95 / $324.68 / $324.68	Facility		$301.95	$324.68	$324.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $324.68 / $324.68 / $324.68	Professional		$324.68	$324.68	$324.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $243.27	Professional		$167.54	$167.54	$243.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $389.70 / $876.83	Facility		$319.00	$389.70	$876.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $295.49 / $701.46	Professional		$229.92	$295.49	$701.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.28 / $248.92 / $324.68	Professional		$234.28	$248.92	$324.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.92 / $450.92 / $450.92	Facility		$450.92	$450.92	$450.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $316.10 / $316.10	Professional		$316.10	$316.10	$316.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $243.27 / $555.00	Facility		$229.50	$243.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $545.70	Professional		$167.54	$229.50	$545.70
United Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $198.37 / $356.43	Professional		$129.61	$198.37	$356.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.28 / $234.28 / $243.46	Facility		$234.28	$234.28	$243.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.28 / $234.28 / $295.49	Professional		$234.28	$234.28	$295.49