Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.75 / $351.91 / $439.18	Facility		$349.75	$351.91	$439.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $384.06 / $443.04	Professional		$329.41	$384.06	$443.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $345.20 / $345.20	Professional		$345.20	$345.20	$345.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $571.30 / $819.66	Professional		$458.55	$571.30	$819.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $517.39 / $517.39 / $517.39	Facility		$517.39	$517.39	$517.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $517.39 / $517.39 / $517.39	Professional		$517.39	$517.39	$517.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.40 / $444.40 / $444.40	Facility		$444.40	$444.40	$444.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $531.76 / $1,520.52	Professional		$284.83	$531.76	$1,520.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $346.00 / $986.96	Facility		$227.97	$346.00	$986.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.53 / $535.15 / $758.86	Professional		$395.53	$535.15	$758.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $13.03 / $13.03	Facility		$13.03	$13.03	$13.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $440.70 / $752.27	Professional		$50.28	$440.70	$752.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.25 / $698.25 / $698.25	Facility		$698.25	$698.25	$698.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $444.40 / $444.40 / $597.00	Facility		$444.40	$444.40	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $272.05 / $1,272.60	Professional		$189.80	$272.05	$1,272.60
United Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $358.22 / $768.70	Professional		$213.03	$358.22	$768.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $353.53 / $414.73 / $414.73	Facility		$353.53	$414.73	$414.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $462.34 / $901.45	Professional		$226.77	$462.34	$901.45