Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.03 / $310.33 / $526.78	Facility		$204.03	$310.33	$526.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.03 / $282.85 / $470.67	Professional		$204.03	$282.85	$470.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.02 / $138.91 / $192.21	Professional	52	$102.02	$138.91	$192.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.79 / $278.69 / $498.81	Professional		$248.79	$278.69	$498.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $233.64 / $472.12	Professional		$198.60	$233.64	$472.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $419.20 / $419.20 / $419.20	Facility		$419.20	$419.20	$419.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $419.20 / $419.20 / $419.20	Professional		$419.20	$419.20	$419.20
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 / $349.51 / $808.07	Professional		$230.36	$349.51	$808.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $319.00 / $456.80	Facility		$185.00	$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 $225.08 / $370.98 / $625.29	Professional		$225.08	$370.98	$625.29
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $234.21 / $234.21 / $341.55	Professional		$234.21	$234.21	$341.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $276.07 / $296.92	Professional		$244.20	$276.07	$296.92
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 $229.56 / $330.57 / $673.66	Professional		$229.56	$330.57	$673.66
United Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $272.95 / $532.63	Professional		$201.60	$272.95	$532.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $314.39 / $572.05	Facility		$276.85	$314.39	$572.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $367.09 / $732.73	Professional		$240.02	$367.09	$732.73