Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.92 / $135.80 / $271.41	Facility		$80.92	$135.80	$271.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $119.45 / $281.76	Professional		$80.00	$119.45	$281.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $132.83 / $187.53	Professional		$124.44	$132.83	$187.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $116.00 / $204.27	Professional		$0.81	$116.00	$204.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $142.77 / $142.77	Facility		$142.77	$142.77	$142.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $142.77 / $190.04	Professional		$142.77	$142.77	$190.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $163.19 / $326.38	Professional		$90.12	$163.19	$326.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $151.83 / $332.00	Facility		$75.00	$151.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $116.75 / $229.63	Professional		$51.00	$116.75	$229.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $115.14 / $125.48	Facility		$107.54	$115.14	$125.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $148.55 / $244.33	Professional		$109.02	$148.55	$244.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $182.60 / $268.79	Professional		$163.16	$182.60	$268.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $174.38 / $329.95	Professional		$91.51	$174.38	$329.95
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $143.59 / $174.87	Professional		$105.00	$143.59	$174.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $148.30 / $295.27	Professional		$104.13	$148.30	$295.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $125.48 / $244.43	Facility		$94.14	$125.48	$244.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $110.91 / $159.36 / $250.17	Professional		$110.91	$159.36	$250.17