Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $127.39 / $226.60	Facility		$75.39	$127.39	$226.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $99.99 / $259.51	Professional		$70.19	$99.99	$259.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $108.99 / $123.26	Professional		$103.15	$108.99	$123.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $112.24 / $207.21	Professional		$91.75	$112.24	$207.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.77 / $121.77 / $121.77	Facility		$121.77	$121.77	$121.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $121.77 / $163.30	Professional		$121.77	$121.77	$163.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $137.94 / $281.27	Professional		$79.41	$137.94	$281.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $128.57 / $332.00	Facility		$70.00	$128.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $99.58 / $195.97	Professional		$42.50	$99.58	$195.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $96.35 / $107.09	Facility		$90.68	$96.35	$107.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $123.15 / $209.33	Professional		$94.60	$123.15	$209.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $155.79 / $268.06	Professional		$121.10	$155.79	$268.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $150.65 / $286.31	Professional		$81.81	$150.65	$286.31
United Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $131.63 / $258.95	Professional		$93.67	$131.63	$258.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $107.09 / $216.02	Facility		$79.87	$107.09	$216.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $136.00 / $212.26	Professional		$96.35	$136.00	$212.26