Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.25 / $216.16 / $363.10	Facility		$158.25	$216.16	$363.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.25 / $199.10 / $375.17	Professional		$158.25	$199.10	$375.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.68 / $192.13 / $344.21	Professional		$178.68	$192.13	$344.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $164.82 / $354.18	Professional		$136.83	$164.82	$354.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $287.12 / $287.12 / $287.12	Facility		$287.12	$287.12	$287.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $287.12 / $287.12	Professional		$287.12	$287.12	$287.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $252.63 / $575.22	Professional		$166.07	$252.63	$575.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $315.23 / $332.00	Facility		$144.00	$315.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $274.79 / $434.71	Professional		$202.72	$274.79	$434.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.05 / $191.05 / $216.71	Facility		$191.05	$191.05	$216.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $256.01 / $431.02	Professional		$155.41	$256.01	$431.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.03 / $207.48 / $248.78	Professional		$181.03	$207.48	$248.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $245.56 / $508.25	Professional		$166.07	$245.56	$508.25
United Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $203.28 / $439.06	Professional		$153.77	$203.28	$439.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $191.05 / $216.71 / $436.60	Facility		$191.05	$216.71	$436.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $256.01 / $504.15	Professional		$165.45	$256.01	$504.15