Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.65 / $770.39 / $1,732.87	Facility		$255.65	$770.39	$1,732.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $242.58 / $326.68	Professional		$211.93	$242.58	$326.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.82 / $276.22 / $298.89	Professional		$237.82	$276.22	$298.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.22 / $370.85 / $550.39	Professional		$308.22	$370.85	$550.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $339.15 / $339.15 / $339.15	Facility		$339.15	$339.15	$339.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $339.15 / $339.15 / $339.15	Professional		$339.15	$339.15	$339.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $287.45	Facility		$287.45	$287.45	$287.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $343.27 / $983.03	Professional		$189.42	$343.27	$983.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $282.00 / $620.66	Facility		$227.97	$282.00	$620.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $336.54 / $477.22	Professional		$252.50	$336.54	$477.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $74.05 / $74.05	Facility		$74.05	$74.05	$74.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $276.49 / $471.96	Professional		$181.93	$276.49	$471.96
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $265.13 / $281.37	Professional		$227.25	$265.13	$281.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $759.91 / $846.40	Facility		$238.00	$759.91	$846.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $279.95 / $412.90	Professional		$279.95	$279.95	$412.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $597.00	Facility		$287.45	$287.45	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $190.34 / $831.31	Professional		$189.80	$190.34	$831.31
United Facility/Professional Professional Modifier Low / Median / High Price $202.26 / $265.76 / $610.75	Professional		$202.26	$265.76	$610.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $260.19 / $260.19 / $368.49	Facility		$260.19	$260.19	$368.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $298.29 / $565.55	Professional		$221.16	$298.29	$565.55