Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $181.37 / $442.78	Facility		$111.63	$181.37	$442.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $144.13 / $337.87	Professional		$98.34	$144.13	$337.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $158.61 / $169.22	Professional		$138.15	$158.61	$169.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $137.78 / $245.23	Professional		$0.81	$137.78	$245.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $179.19 / $179.19	Facility		$179.19	$179.19	$179.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $179.19 / $231.71	Professional		$179.19	$179.19	$231.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $199.38 / $398.83	Professional		$114.87	$199.38	$398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $189.32 / $332.00	Facility		$75.00	$189.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $142.08 / $279.62	Professional		$85.00	$142.08	$279.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $152.80 / $194.06	Facility		$119.96	$152.80	$194.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.65 / $181.13 / $297.29	Professional		$132.65	$181.13	$297.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.32 / $214.49 / $388.52	Professional		$183.32	$214.49	$388.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $215.91 / $402.48	Professional		$116.19	$215.91	$402.48
United Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $189.04 / $371.57	Professional		$134.37	$189.04	$371.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $152.80 / $326.74	Facility		$117.52	$152.80	$326.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $194.06 / $312.29	Professional		$134.97	$194.06	$312.29