Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $150.02 / $354.85	Facility		$85.79	$150.02	$354.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $125.21 / $333.62	Professional		$77.22	$125.21	$333.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $132.12 / $159.31	Professional		$118.01	$132.12	$159.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $112.54 / $200.96	Professional		$0.81	$112.54	$200.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $136.96 / $136.96	Facility		$136.96	$136.96	$136.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $136.96 / $184.71	Professional		$136.96	$136.96	$184.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $159.07 / $314.97	Professional		$88.13	$159.07	$314.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $145.55 / $332.00	Facility		$75.00	$145.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $113.55 / $223.21	Professional		$57.80	$113.55	$223.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.19 / $115.14 / $121.97	Facility		$103.19	$115.14	$121.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $144.38 / $237.45	Professional		$105.95	$144.38	$237.45
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $105.11 / $141.61	Professional		$81.59	$105.11	$141.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $183.64 / $263.49	Professional		$156.09	$183.64	$263.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $169.86 / $323.55	Professional		$89.48	$169.86	$323.55
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $139.94 / $169.41	Professional		$105.00	$139.94	$169.41
United Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $148.87 / $297.92	Professional		$107.58	$148.87	$297.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $121.97 / $244.43	Facility		$90.21	$121.97	$244.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $154.91 / $239.73	Professional		$107.87	$154.91	$239.73