Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.87 / $138.44 / $340.94	Facility		$84.87	$138.44	$340.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $119.96 / $311.68	Professional		$76.40	$119.96	$311.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $134.56 / $192.88	Professional		$106.38	$134.56	$192.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $121.45 / $227.80	Professional		$99.77	$121.45	$227.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $135.96 / $135.96 / $135.96	Facility		$135.96	$135.96	$135.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $135.96 / $177.50	Professional		$135.96	$135.96	$177.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $153.24 / $311.56	Professional		$88.13	$153.24	$311.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $144.47 / $332.00	Facility		$70.00	$144.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $123.17 / $227.09	Professional		$55.25	$123.17	$227.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $117.03 / $148.63	Facility		$91.02	$117.03	$148.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $138.75 / $227.76	Professional		$101.63	$138.75	$227.76
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $112.86 / $150.41	Professional		$53.88	$112.86	$150.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $162.72 / $241.00	Professional		$137.78	$162.72	$241.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $148.83	Facility		$124.66	$124.66	$148.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $165.62 / $311.56	Professional		$89.44	$165.62	$311.56
United Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $142.79 / $280.07	Professional		$102.64	$142.79	$280.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $117.03 / $244.43	Facility		$89.55	$117.03	$244.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $148.63 / $237.96	Professional		$103.45	$148.63	$237.96