Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.78 / $159.00 / $254.68	Facility		$113.78	$159.00	$254.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $138.97 / $395.51	Professional		$110.68	$138.97	$395.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $265.08 / $265.08	Professional		$147.69	$265.08	$265.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $121.54 / $301.41	Professional		$95.85	$121.54	$301.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.14 / $204.14 / $204.14	Facility		$204.14	$204.14	$204.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $204.14 / $204.14	Professional		$204.14	$204.14	$204.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $211.80 / $418.88	Professional		$117.49	$211.80	$418.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $150.00 / $332.00	Facility		$125.00	$150.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $194.59 / $298.07	Professional		$145.27	$194.59	$298.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $132.05 / $132.05	Facility		$132.05	$132.05	$132.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $152.33 / $286.39	Professional		$85.17	$152.33	$286.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $187.98 / $291.62	Professional		$156.87	$187.98	$291.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $555.00	Facility		$162.16	$162.16	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $203.81 / $399.63	Professional		$125.00	$203.81	$399.63
United Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $188.30 / $324.08	Professional		$129.75	$188.30	$324.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $132.05 / $132.05	Facility		$132.05	$132.05	$132.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $163.77 / $347.04	Professional		$128.38	$163.77	$347.04