Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $127.68 / $365.39	Facility		$63.31	$127.68	$365.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $127.68 / $224.43	Professional		$87.50	$127.68	$224.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $98.60 / $200.00	Professional		$80.00	$98.60	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $89.81 / $227.00	Professional		$72.31	$89.81	$227.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $54.17 / $125.75	Facility		$54.17	$54.17	$125.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $125.75 / $179.92	Professional		$54.17	$125.75	$179.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $244.72 / $297.89	Facility		$140.24	$244.72	$297.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $197.54 / $408.87	Professional		$100.29	$197.54	$408.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $28.00 / $57.40	Facility		$21.00	$28.00	$57.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $210.46 / $220.97	Professional		$158.22	$210.46	$220.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $167.50 / $273.33	Professional		$101.82	$167.50	$273.33
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $62.70 / $115.50	Professional		$59.40	$62.70	$115.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $122.10 / $300.00	Facility		$36.00	$122.10	$300.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $70.26 / $80.61	Professional		$67.79	$70.26	$80.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $254.50 / $340.90	Facility		$140.24	$254.50	$340.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $126.99 / $386.61	Professional		$37.50	$126.99	$386.61
United Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $144.18 / $287.47	Professional		$109.17	$144.18	$287.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $132.97 / $199.60	Facility		$132.97	$132.97	$199.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $185.29 / $332.29	Professional		$125.78	$185.29	$332.29