Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $141.25 / $213.80	Facility		$45.71	$141.25	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $323.59	Professional		$64.57	$95.50	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $93.33 / $281.84	Professional		$35.48	$93.33	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $120.23	Facility		$50.12	$120.23	$120.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $120.23	Professional		$60.26	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $169.82	Facility		$97.72	$117.49	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $346.74	Professional		$50.12	$112.20	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $117.49	Professional		$58.88	$74.13	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $144.54	Professional		$67.61	$97.72	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $173.78	Professional		$54.95	$102.33	$173.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $154.88	Professional		$43.65	$60.26	$154.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $173.78	Professional		$67.61	$91.20	$173.78