Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $310.76 / $526.78	Facility		$204.82	$310.76	$526.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.82 / $291.45 / $473.45	Professional		$204.82	$291.45	$473.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $283.23 / $498.81	Professional		$259.18	$283.23	$498.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $239.23 / $472.12	Professional		$198.60	$239.23	$472.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $419.68 / $419.68 / $419.68	Facility		$419.68	$419.68	$419.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $419.68 / $419.68 / $419.68	Professional		$419.68	$419.68	$419.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.36 / $349.88 / $808.63	Professional		$230.36	$349.88	$808.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $319.00 / $456.80	Facility		$200.00	$319.00	$456.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.10 / $396.85 / $627.80	Professional		$287.10	$396.85	$627.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $276.85 / $314.39	Facility		$276.85	$276.85	$314.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.74 / $364.77 / $625.29	Professional		$214.74	$364.77	$625.29
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $357.82 / $357.82 / $357.82	Professional		$357.82	$357.82	$357.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.04 / $279.83 / $322.73	Professional		$270.04	$279.83	$322.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.99 / $331.56 / $673.79	Professional		$229.99	$331.56	$673.79
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $273.04 / $559.17	Professional		$202.46	$273.04	$559.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $314.39 / $578.17	Facility		$117.39	$314.39	$578.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $364.77 / $733.56	Professional		$225.83	$364.77	$733.56