Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $130.36 / $283.47	Facility		$77.54	$130.36	$283.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $110.76 / $315.29	Professional		$70.00	$110.76	$315.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $122.16 / $143.24	Professional		$89.57	$122.16	$143.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $114.82 / $218.13	Professional		$93.70	$114.82	$218.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $125.22 / $125.22	Facility		$125.22	$125.22	$125.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $125.22 / $166.76	Professional		$125.22	$125.22	$166.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $143.03 / $288.56	Professional		$82.13	$143.03	$288.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $133.04 / $332.00	Facility		$70.00	$133.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $104.28 / $201.48	Professional		$46.75	$104.28	$201.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $97.22 / $110.10	Facility		$93.27	$97.22	$110.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $126.61 / $214.17	Professional		$95.56	$126.61	$214.17
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $101.89 / $134.38	Professional		$47.86	$101.89	$134.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.93 / $157.38 / $276.80	Professional		$147.93	$157.38	$276.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $140.29	Facility		$114.80	$114.80	$140.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $155.56 / $292.08	Professional		$82.78	$155.56	$292.08
United Facility/Professional Professional Modifier Low / Median / High Price $96.69 / $134.65 / $264.88	Professional		$96.69	$134.65	$264.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $110.10 / $216.02	Facility		$82.41	$110.10	$216.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $139.82 / $219.01	Professional		$97.22	$139.82	$219.01