Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $129.16 / $816.00	Facility		$88.73	$129.16	$816.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $105.69 / $158.22	Professional		$88.73	$105.69	$158.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $94.41 / $172.87	Professional		$89.87	$94.41	$172.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $85.25 / $203.54	Professional		$68.65	$85.25	$203.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.62 / $147.62 / $147.62	Facility		$147.62	$147.62	$147.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $147.62 / $147.62	Professional		$147.62	$147.62	$147.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $360.00 / $550.00	Facility		$116.35	$360.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $147.31 / $318.66	Professional		$88.91	$147.31	$318.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.22 / $267.60 / $332.00	Facility		$158.22	$267.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $136.37 / $208.08	Professional		$100.60	$136.37	$208.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $95.89 / $109.16	Facility		$95.89	$95.89	$109.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $128.49 / $217.11	Professional		$83.34	$128.49	$217.11
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $106.19 / $106.19	Professional		$106.19	$106.19	$106.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $93.08 / $141.87	Professional		$93.08	$93.08	$141.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $360.00 / $550.00	Facility		$116.35	$360.00	$550.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $140.44 / $287.64	Professional		$104.06	$140.44	$287.64
United Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $117.24 / $240.02	Professional		$88.82	$117.24	$240.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $109.16 / $411.17	Facility		$95.89	$109.16	$411.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $128.49 / $259.06	Professional		$83.34	$128.49	$259.06