Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $149.86 / $952.69	Facility		$55.46	$149.86	$952.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $66.58 / $95.15	Professional		$55.46	$66.58	$95.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $153.94 / $301.83	Facility		$150.91	$153.94	$301.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $92.90 / $247.57	Professional		$92.90	$92.90	$247.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $125.74 / $125.74	Facility		$116.94	$125.74	$125.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $125.74 / $125.74	Professional		$125.74	$125.74	$125.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $100.03	Professional		$73.02	$73.02	$100.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $316.93 / $339.57	Facility		$150.91	$316.93	$339.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $111.68 / $271.66	Professional		$77.93	$111.68	$271.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $96.49 / $96.49	Facility		$96.49	$96.49	$96.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $96.40 / $115.79	Professional		$90.73	$96.40	$115.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $122.41 / $122.41	Professional		$122.41	$122.41	$122.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $555.00	Facility		$100.03	$100.03	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $93.28 / $224.06	Professional		$73.02	$93.28	$224.06
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $90.55 / $138.04	Professional		$50.20	$90.55	$138.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $90.73 / $90.73	Facility		$81.59	$90.73	$90.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $90.73 / $96.49	Professional		$90.73	$90.73	$96.49