Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $170.03 / $243.17	Facility		$128.34	$170.03	$243.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $139.94 / $210.47	Professional		$118.20	$139.94	$210.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $126.32 / $172.85	Professional		$122.08	$126.32	$172.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $135.26 / $238.02	Professional		$108.20	$135.26	$238.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $188.85 / $188.85 / $188.85	Facility		$188.85	$188.85	$188.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $188.85 / $192.19	Professional		$188.85	$188.85	$192.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $198.45 / $457.61	Professional		$101.29	$198.45	$457.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $161.88 / $333.02	Facility		$53.63	$161.88	$333.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $183.89 / $274.87	Professional		$140.79	$183.89	$274.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $169.73 / $311.31	Professional		$104.43	$169.73	$311.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.03 / $154.88 / $210.91	Professional		$154.03	$154.88	$210.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $597.00	Facility		$214.92	$214.92	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $196.46 / $442.59	Professional		$110.78	$196.46	$442.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $151.74 / $370.12	Professional		$118.39	$151.74	$370.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $155.77 / $155.77 / $188.99	Facility		$155.77	$155.77	$188.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $176.52 / $338.58	Professional		$104.43	$176.52	$338.58