Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $125.45 / $316.94	Facility		$90.35	$125.45	$316.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $120.16 / $164.41	Professional		$92.24	$120.16	$164.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $122.08 / $132.81	Professional		$83.93	$122.08	$132.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.00 / $298.00	Facility		$50.00	$85.00	$298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $127.59 / $210.54	Professional		$95.32	$127.59	$210.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $149.88 / $149.88	Facility		$149.88	$149.88	$149.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $149.88 / $187.13	Professional		$149.88	$149.88	$187.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $134.00 / $268.38	Professional		$98.00	$134.00	$268.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.98 / $88.98 / $361.26	Facility		$88.98	$88.98	$361.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $177.36 / $244.52	Professional		$134.01	$177.36	$244.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $135.94 / $135.94	Facility		$27.80	$135.94	$135.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $122.32 / $239.98	Professional		$99.13	$122.32	$239.98
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $116.20	Professional		$105.00	$105.00	$116.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.13 / $165.13 / $205.92	Facility		$165.13	$165.13	$205.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $138.10 / $139.62	Professional		$138.10	$138.10	$139.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $555.00	Facility		$175.89	$175.89	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $134.00 / $283.77	Professional		$101.00	$134.00	$283.77
Optum Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $137.37 / $176.63	Professional		$109.15	$137.37	$176.63
United Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $148.87 / $306.43	Professional		$110.04	$148.87	$306.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $128.61 / $135.94	Facility		$122.32	$128.61	$135.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $161.88 / $276.33	Professional		$99.13	$161.88	$276.33