Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $121.67 / $214.15	Facility		$71.43	$121.67	$214.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $101.12 / $224.64	Professional		$66.42	$101.12	$224.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $125.40 / $168.30	Professional		$103.25	$125.40	$168.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $96.10 / $173.35	Professional		$0.80	$96.10	$173.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Facility		$114.48	$114.48	$114.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $162.69	Professional		$114.48	$114.48	$162.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $139.13 / $277.36	Professional		$75.63	$139.13	$277.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $121.21 / $332.00	Facility		$75.00	$121.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $100.15 / $198.58	Professional		$51.00	$100.15	$198.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $97.36 / $107.71	Facility		$85.50	$97.36	$107.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $127.18 / $209.61	Professional		$93.53	$127.18	$209.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $272.49 / $272.49	Professional		$272.49	$272.49	$272.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $149.32 / $279.89	Professional		$76.38	$149.32	$279.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $126.17 / $255.27	Professional		$89.90	$126.17	$255.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $107.53 / $216.02	Facility		$75.28	$107.53	$216.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $136.57 / $209.61	Professional		$95.14	$136.57	$209.61