Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $155.06 / $788.00	Facility		$106.04	$155.06	$788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $126.12 / $203.97	Professional		$106.04	$126.12	$203.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $109.89 / $117.63	Professional		$107.31	$109.89	$117.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $114.41 / $222.90	Professional		$92.64	$114.41	$222.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $175.07 / $175.07 / $175.07	Facility		$175.07	$175.07	$175.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $175.07 / $175.07	Professional		$175.07	$175.07	$175.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $139.44 / $214.00	Facility		$120.00	$139.44	$214.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $164.19 / $382.67	Professional		$103.39	$164.19	$382.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $188.74 / $282.00 / $332.00	Facility		$188.74	$282.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $163.25 / $248.23	Professional		$120.43	$163.25	$248.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $114.39 / $130.63	Facility		$114.39	$114.39	$130.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $153.29 / $259.82	Professional		$94.77	$153.29	$259.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $126.51 / $127.90	Professional		$126.51	$126.51	$127.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $139.44 / $214.00	Facility		$120.00	$139.44	$214.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $168.12 / $334.53	Professional		$121.61	$168.12	$334.53
United Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $136.93 / $285.94	Professional		$102.21	$136.93	$285.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $130.63 / $420.45	Facility		$114.39	$130.63	$420.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $153.29 / $310.02	Professional		$94.77	$153.29	$310.02