Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.55 / $116.62 / $212.68	Facility		$66.55	$116.62	$212.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $91.43 / $259.47	Professional		$61.60	$91.43	$259.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $98.32 / $177.68	Professional		$93.58	$98.32	$177.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $87.36 / $159.06	Professional		$0.80	$87.36	$159.06
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 / $149.11	Professional		$107.57	$107.57	$149.11
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 $71.29 / $126.37 / $254.91	Professional		$71.29	$126.37	$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 / $87.99 / $97.99	Facility		$80.04	$87.99	$97.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $112.69 / $191.37	Professional		$86.57	$112.69	$191.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $154.40 / $245.41	Professional		$144.84	$154.40	$245.41
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 / $136.51 / $261.06	Professional		$74.66	$136.51	$261.06
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $115.61 / $233.60	Professional		$81.00	$115.61	$233.60
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 $87.99 / $124.45 / $191.37	Professional		$87.99	$124.45	$191.37