Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $127.43 / $421.40	Facility		$87.02	$127.43	$421.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $102.01 / $219.78	Professional		$81.48	$102.01	$219.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $117.70 / $117.70	Professional		$107.20	$117.70	$117.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $108.63 / $185.96	Professional		$87.47	$108.63	$185.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Facility		$139.41	$139.41	$139.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $139.41 / $159.94	Professional		$139.41	$139.41	$159.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $144.88 / $272.19	Professional		$85.70	$144.88	$272.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $148.15 / $332.00	Facility		$45.00	$148.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $150.22 / $224.81	Professional		$122.57	$150.22	$224.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.60 / $104.67 / $118.56	Facility		$103.60	$104.67	$118.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $131.58 / $222.49	Professional		$94.55	$131.58	$222.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $149.01 / $150.65	Professional		$149.01	$149.01	$150.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $132.57	Facility		$127.81	$127.81	$132.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $151.09 / $276.94	Professional		$85.70	$151.09	$276.94
United Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $132.47 / $252.88	Professional		$97.91	$132.47	$252.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $104.67 / $213.82	Facility		$91.84	$104.67	$213.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $139.47 / $244.06	Professional		$106.06	$139.47	$244.06