Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.95 / $434.57 / $692.79	Facility		$295.95	$434.57	$692.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $393.99 / $1,096.50	Professional		$295.95	$393.99	$1,096.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $721.92 / $1,370.98	Professional		$362.80	$721.92	$1,370.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.72 / $372.44 / $839.14	Professional		$293.72	$372.44	$839.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $554.23 / $554.23 / $554.23	Facility		$554.23	$554.23	$554.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.23 / $554.23 / $554.23	Professional		$554.23	$554.23	$554.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.14 / $441.14 / $441.14	Facility		$441.14	$441.14	$441.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.57 / $573.80 / $1,228.52	Professional		$320.57	$573.80	$1,228.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $332.00 / $593.41	Facility		$300.00	$332.00	$593.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.54 / $551.01 / $1,013.21	Professional		$395.54	$551.01	$1,013.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.64 / $359.64 / $359.64	Facility		$359.64	$359.64	$359.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.44 / $448.87 / $822.36	Professional		$322.44	$448.87	$822.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.87 / $696.34 / $930.94	Professional		$499.87	$696.34	$930.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $441.14 / $441.14 / $555.00	Facility		$441.14	$441.14	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.86 / $555.29 / $1,102.99	Professional		$380.86	$555.29	$1,102.99
United Facility/Professional Professional Modifier Low / Median / High Price $355.71 / $514.54 / $912.47	Professional		$355.71	$514.54	$912.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $359.64 / $359.64 / $359.64	Facility		$359.64	$359.64	$359.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $489.12 / $944.03	Professional		$349.23	$489.12	$944.03