Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.09 / $332.94 / $873.87	Facility		$207.09	$332.94	$873.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $207.09 / $594.01	Professional		$138.57	$207.09	$594.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $141.41 / $183.01	Professional		$133.10	$141.41	$183.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $181.58 / $402.16	Professional		$143.19	$181.58	$402.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $237.35 / $237.35	Facility		$237.35	$237.35	$237.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $237.35 / $237.35 / $237.35	Professional		$237.35	$237.35	$237.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.28 / $1,336.46 / $1,484.95	Facility		$191.28	$1,336.46	$1,484.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $225.06 / $544.66	Professional		$143.63	$225.06	$544.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $250.00 / $426.98	Facility		$158.10	$250.00	$426.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $195.20 / $352.11	Professional		$160.05	$195.20	$352.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.92 / $314.92 / $314.92	Facility		$314.92	$314.92	$314.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $216.69 / $325.70	Professional		$131.51	$216.69	$325.70
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $148.72 / $180.28	Professional		$148.72	$148.72	$180.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.50 / $697.50 / $697.50	Facility		$697.50	$697.50	$697.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $199.68 / $407.17	Professional		$159.62	$199.68	$407.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $191.28 / $555.00 / $1,484.95	Facility		$191.28	$555.00	$1,484.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $245.43 / $544.66	Professional		$170.65	$245.43	$544.66
United Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $183.62 / $432.16	Professional		$135.26	$183.62	$432.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $179.67 / $179.67 / $515.47	Facility		$179.67	$179.67	$515.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.51 / $219.90 / $486.16	Professional		$131.51	$219.90	$486.16