Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $549.54	Professional		$123.03	$169.82	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $316.23	Professional		$123.03	$151.36	$316.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $501.19	Professional		$123.03	$181.97	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $302.00	Professional		$154.88	$177.83	$302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $251.19	Professional		$102.33	$162.18	$251.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $177.83	Professional		$114.82	$134.90	$177.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $199.53	Professional		$141.25	$177.83	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $295.12	Professional		$102.33	$147.91	$295.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $346.74	Professional		$102.33	$165.96	$346.74