Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.72 / $318.95 / $453.97	Facility		$239.72	$318.95	$453.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $263.25 / $387.26	Professional		$223.63	$263.25	$387.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $267.32 / $276.39	Professional		$234.81	$267.32	$276.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $253.25 / $446.47	Professional		$202.60	$253.25	$446.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $354.50 / $354.50 / $354.50	Facility		$354.50	$354.50	$354.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $354.50 / $354.50 / $361.19	Professional		$354.50	$354.50	$361.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $400.86 / $400.86	Facility		$400.86	$400.86	$400.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $374.87 / $857.26	Professional		$189.65	$374.87	$857.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $275.45 / $619.76	Facility		$101.54	$275.45	$619.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $342.53 / $512.62	Professional		$262.27	$342.53	$512.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $316.55 / $581.19	Professional		$195.66	$316.55	$581.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $289.14 / $292.33	Professional		$289.14	$289.14	$292.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $400.86 / $597.00	Facility		$400.86	$400.86	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $369.13 / $825.43	Professional		$209.88	$369.13	$825.43
United Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $294.93 / $687.06	Professional		$224.86	$294.93	$687.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $290.45 / $290.45 / $356.99	Facility		$290.45	$290.45	$356.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $206.85 / $329.21 / $631.32	Professional		$206.85	$329.21	$631.32