Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.81 / $199.75 / $290.31	Facility		$149.81	$199.75	$290.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $164.81 / $309.92	Professional		$139.38	$164.81	$309.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $166.85 / $206.48	Professional		$166.85	$166.85	$206.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $158.33 / $277.52	Professional		$124.52	$158.33	$277.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $220.90 / $220.90 / $220.90	Facility		$220.90	$220.90	$220.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $220.90 / $223.29	Professional		$220.90	$220.90	$223.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $232.00 / $533.77	Professional		$116.56	$232.00	$533.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $186.10 / $397.78	Facility		$63.21	$186.10	$397.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $219.72 / $328.82	Professional		$168.24	$219.72	$328.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $203.05 / $371.67	Professional		$120.62	$203.05	$371.67
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $183.50 / $183.50	Professional		$183.50	$183.50	$183.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $182.12 / $245.05	Professional		$173.86	$182.12	$245.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $597.00	Facility		$257.18	$257.18	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $231.63 / $519.79	Professional		$130.09	$231.63	$519.79
United Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $179.90 / $407.79	Professional		$139.58	$179.90	$407.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $186.11 / $223.40	Facility		$186.11	$186.11	$223.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $211.17 / $404.52	Professional		$132.28	$211.17	$404.52