Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $109.49 / $202.20	Facility		$61.01	$109.49	$202.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $85.00 / $225.29	Professional		$52.64	$85.00	$225.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $100.00 / $124.76	Professional		$92.28	$100.00	$124.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $82.32 / $147.44	Professional		$0.80	$82.32	$147.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.93 / $97.93 / $97.93	Facility		$97.93	$97.93	$97.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $97.93 / $139.94	Professional		$97.93	$97.93	$139.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $116.91 / $236.53	Professional		$62.86	$116.91	$236.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $103.21 / $332.00	Facility		$60.00	$103.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $90.00 / $168.40	Professional		$42.50	$90.00	$168.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $79.68 / $92.02	Facility		$73.38	$79.68	$92.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $109.40 / $180.26	Professional		$80.43	$109.40	$180.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $145.46 / $146.44	Professional		$122.02	$145.46	$146.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $126.46 / $241.91	Professional		$66.34	$126.46	$241.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $109.55 / $221.00	Professional		$79.98	$109.55	$221.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $92.02 / $162.57	Facility		$64.30	$92.02	$162.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $116.86 / $180.26	Professional		$81.31	$116.86	$180.26