Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.53 / $262.14 / $374.59	Facility		$196.53	$262.14	$374.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $215.71 / $338.20	Professional		$183.76	$215.71	$338.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $206.73 / $206.73	Professional		$206.73	$206.73	$206.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $207.17 / $367.02	Professional		$165.73	$207.17	$367.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $290.88 / $290.88 / $290.88	Facility		$290.88	$290.88	$290.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $290.88 / $296.61	Professional		$290.88	$290.88	$296.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $309.45 / $701.62	Professional		$155.13	$309.45	$701.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $238.10 / $508.07	Facility		$83.39	$238.10	$508.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $282.24 / $422.39	Professional		$215.84	$282.24	$422.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $260.83 / $479.57	Professional		$160.33	$260.83	$479.57
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $164.91 / $164.91	Professional		$164.91	$164.91	$164.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $241.93 / $244.59	Professional		$233.44	$241.93	$244.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $597.00	Facility		$329.30	$329.30	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $306.76 / $681.35	Professional		$173.03	$306.76	$681.35
United Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $242.05 / $538.26	Professional		$184.78	$242.05	$538.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $239.49 / $239.49 / $293.63	Facility		$239.49	$239.49	$293.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $271.27 / $520.55	Professional		$170.68	$271.27	$520.55