Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $129.86 / $181.05	Facility		$84.16	$129.86	$181.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $92.48 / $154.97	Professional		$75.66	$92.48	$154.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $74.88 / $104.64	Professional		$67.31	$74.88	$104.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $86.19 / $134.13	Professional		$68.79	$86.19	$134.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $121.74 / $121.74	Facility		$121.74	$121.74	$121.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $121.74 / $137.02	Professional		$121.74	$121.74	$137.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $97.97 / $266.39	Professional		$67.77	$97.97	$266.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $77.56 / $319.00	Facility		$77.56	$77.56	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $146.94 / $211.16	Professional		$105.32	$146.94	$211.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $83.32 / $97.31	Facility		$83.32	$83.32	$97.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $125.37 / $214.00	Professional		$78.45	$125.37	$214.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $134.62 / $136.10	Professional		$134.62	$134.62	$136.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $555.00	Facility		$149.19	$149.19	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $101.42 / $249.30	Professional		$68.76	$101.42	$249.30
Optum Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $91.14 / $111.78	Professional		$75.11	$91.14	$111.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $101.97 / $224.89	Professional		$79.22	$101.97	$224.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $107.89 / $107.89	Facility		$97.31	$107.89	$107.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $131.87 / $229.36	Professional		$97.31	$131.87	$229.36