Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $39.54 / $73.19	Facility		$30.93	$39.54	$73.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $41.47 / $57.28	Professional		$30.93	$41.47	$57.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $92.67 / $181.70	Facility		$90.85	$92.67	$181.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $49.41 / $140.03	Professional		$49.41	$49.41	$140.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $75.69 / $75.69	Facility		$70.39	$75.69	$75.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $75.69 / $75.69	Professional		$75.69	$75.69	$75.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $64.81	Facility		$56.56	$56.56	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $41.29 / $64.81	Professional		$41.29	$41.29	$64.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $204.41 / $332.00	Facility		$90.85	$204.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $70.23 / $163.53	Professional		$53.60	$70.23	$163.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $70.55 / $70.55	Facility		$70.55	$70.55	$70.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $55.83 / $75.69	Professional		$52.54	$55.83	$75.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $73.70 / $73.70	Professional		$73.70	$73.70	$73.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $64.81 / $555.00	Facility		$56.56	$64.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.15 / $119.88	Professional		$41.29	$56.15	$119.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $48.25 / $81.80	Professional		$30.22	$48.25	$81.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $52.54 / $56.77	Facility		$52.54	$52.54	$56.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $70.55	Professional		$52.54	$52.54	$70.55