Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.41 / $368.97 / $634.67	Facility		$243.41	$368.97	$634.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $352.69 / $553.88	Professional		$243.41	$352.69	$553.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $335.91 / $452.80	Professional		$305.33	$335.91	$452.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $287.92 / $584.51	Professional		$239.02	$287.92	$584.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.04 / $507.04 / $507.04	Facility		$507.04	$507.04	$507.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $507.04 / $507.04 / $507.04	Professional		$507.04	$507.04	$507.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $421.31 / $973.31	Professional		$280.55	$421.31	$973.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $248.00 / $332.00 / $550.46	Facility		$248.00	$332.00	$550.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.95 / $477.68 / $755.67	Professional		$345.95	$477.68	$755.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.61 / $333.61 / $378.79	Facility		$333.61	$333.61	$378.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $439.49 / $753.40	Professional		$245.81	$439.49	$753.40
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $276.22 / $422.76 / $460.38	Professional		$276.22	$422.76	$460.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $330.13 / $384.40	Professional		$315.83	$330.13	$384.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $398.30 / $809.88	Professional		$279.16	$398.30	$809.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $326.68 / $650.35	Professional		$245.68	$326.68	$650.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $139.78 / $378.79 / $716.19	Facility		$139.78	$378.79	$716.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $272.04 / $442.28 / $882.51	Professional		$272.04	$442.28	$882.51