Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.02 / $172.31 / $409.73	Facility		$104.02	$172.31	$409.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $146.50 / $364.80	Professional		$94.82	$146.50	$364.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $143.60 / $187.38	Professional		$135.58	$143.60	$187.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $129.74 / $231.21	Professional		$0.81	$129.74	$231.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $166.60 / $166.60 / $166.60	Facility		$166.60	$166.60	$166.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $166.60 / $213.87	Professional		$166.60	$166.60	$213.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $183.88 / $373.19	Professional		$103.28	$183.88	$373.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $176.30 / $332.00	Facility		$75.00	$176.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $130.72 / $285.81	Professional		$68.00	$130.72	$285.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $140.62 / $178.59	Facility		$111.51	$140.62	$178.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $167.18 / $274.01	Professional		$124.19	$167.18	$274.01
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $137.35 / $180.44	Professional		$66.20	$137.35	$180.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $193.82 / $212.66	Professional		$187.95	$193.82	$212.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $199.76 / $376.56	Professional		$104.83	$199.76	$376.56
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $159.77 / $193.83	Professional		$105.00	$159.77	$193.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $172.78 / $338.09	Professional		$125.30	$172.78	$338.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.40 / $140.62 / $299.17	Facility		$109.40	$140.62	$299.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $178.59 / $290.72	Professional		$134.41	$178.59	$290.72