Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $794.33 / $1,412.54	Facility		$112.20	$794.33	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $1,380.38	Professional		$77.62	$102.33	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $85.11	Professional		$58.88	$75.86	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $147.91	Professional		$57.54	$69.18	$147.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $275.42	Professional		$72.44	$117.49	$275.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $147.91 / $257.04	Facility		$83.18	$147.91	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $151.36	Professional		$85.11	$107.15	$151.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Facility		$81.28	$81.28	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $181.97	Professional		$66.07	$93.33	$181.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $281.84	Facility		$128.82	$199.53	$281.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $95.50	Professional		$75.86	$89.13	$95.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $223.87	Professional		$97.72	$120.23	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,258.93	Facility		$870.96	$1,174.90	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $186.21	Professional		$63.10	$91.20	$186.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $263.03	Facility		$69.18	$100.00	$263.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $181.97	Professional		$69.18	$91.20	$181.97