Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $142.81 / $271.41	Facility		$75.81	$142.81	$271.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $122.81 / $316.79	Professional		$81.54	$122.81	$316.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $133.03 / $152.46	Professional		$121.58	$133.03	$152.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $129.22 / $243.22	Professional		$107.40	$129.22	$243.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $142.77 / $142.77	Facility		$142.77	$142.77	$142.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $142.77 / $190.51	Professional		$142.77	$142.77	$190.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $164.28 / $335.54	Professional		$94.56	$164.28	$335.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $151.83 / $332.00	Facility		$70.00	$151.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $117.33 / $230.76	Professional		$63.75	$117.33	$230.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $126.10 / $160.13	Facility		$95.63	$126.10	$160.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $148.91 / $244.93	Professional		$111.46	$148.91	$244.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $199.05 / $314.18	Professional		$168.37	$199.05	$314.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $160.63	Facility		$130.94	$130.94	$160.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $177.58 / $335.54	Professional		$97.15	$177.58	$335.54
United Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $152.78 / $304.23	Professional		$110.59	$152.78	$304.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $126.10 / $273.18	Facility		$94.14	$126.10	$273.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $160.13 / $250.17	Professional		$118.68	$160.13	$250.17