Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $132.22 / $226.60	Facility		$75.56	$132.22	$226.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $105.13 / $231.70	Professional		$70.04	$105.13	$231.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $113.55 / $179.37	Professional		$107.32	$113.55	$179.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $100.35 / $180.81	Professional		$0.80	$100.35	$180.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.77 / $121.77 / $121.77	Facility		$121.77	$121.77	$121.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $121.77 / $169.03	Professional		$121.77	$121.77	$169.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $143.61 / $288.68	Professional		$78.08	$143.61	$288.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $128.57 / $332.00	Facility		$75.00	$128.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $103.94 / $204.39	Professional		$51.00	$103.94	$204.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $103.55 / $111.69	Facility		$90.68	$103.55	$111.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $128.44 / $217.76	Professional		$98.74	$128.44	$217.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $177.12 / $283.23	Professional		$161.38	$177.12	$283.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $155.09 / $291.74	Professional		$79.09	$155.09	$291.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $130.47 / $156.40	Professional		$105.00	$130.47	$156.40
United Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $134.03 / $271.74	Professional		$98.65	$134.03	$271.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $111.69 / $216.02	Facility		$79.87	$111.69	$216.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $141.85 / $217.76	Professional		$105.95	$141.85	$217.76