Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $117.00 / $232.00	Facility		$66.75	$117.00	$232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $93.02 / $238.52	Professional		$61.06	$93.02	$238.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $113.06 / $194.78	Professional		$98.32	$113.06	$194.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $88.20 / $160.44	Professional		$0.80	$88.20	$160.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $107.57 / $107.57	Facility		$107.57	$107.57	$107.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $107.57 / $149.59	Professional		$107.57	$107.57	$149.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $126.80 / $254.91	Professional		$70.73	$126.80	$254.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $113.07 / $332.00	Facility		$65.00	$113.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $91.13 / $179.32	Professional		$42.50	$91.13	$179.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $88.87 / $97.99	Facility		$80.04	$88.87	$97.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $112.69 / $191.97	Professional		$85.66	$112.69	$191.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $153.87 / $155.96	Professional		$130.99	$153.87	$155.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $136.74 / $261.95	Professional		$74.66	$136.74	$261.95
United Facility/Professional Facility Modifier Low / Median / High Price $51.85 / $51.85 / $51.85	Facility		$51.85	$51.85	$51.85
United Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $120.06 / $238.76	Professional		$85.92	$120.06	$238.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $97.99 / $189.70	Facility		$70.45	$97.99	$189.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $124.45 / $191.97	Professional		$86.57	$124.45	$191.97