Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $121.82 / $200.31	Facility		$66.72	$121.82	$200.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $97.41 / $257.73	Professional		$61.60	$97.41	$257.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $113.38 / $185.64	Professional		$78.26	$113.38	$185.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $92.70 / $166.03	Professional		$0.80	$92.70	$166.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $107.57 / $107.57	Facility		$107.57	$107.57	$107.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $107.57 / $155.79	Professional		$107.57	$107.57	$155.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $132.74 / $263.77	Professional		$69.65	$132.74	$263.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $113.07 / $332.00	Facility		$75.00	$113.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $95.50 / $187.76	Professional		$51.00	$95.50	$187.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $91.48 / $102.60	Facility		$80.04	$91.48	$102.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $121.78 / $200.40	Professional		$90.73	$121.78	$200.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $150.22 / $221.81	Professional		$145.46	$150.22	$221.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $141.74 / $267.14	Professional		$71.84	$141.74	$267.14
United Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $121.99 / $244.88	Professional		$86.16	$121.99	$244.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $102.60 / $189.70	Facility		$70.45	$102.60	$189.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $130.30 / $200.40	Professional		$99.79	$130.30	$200.40