Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $380.70 / $606.90	Facility		$265.48	$380.70	$606.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $346.60 / $956.50	Professional		$265.48	$346.60	$956.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $352.81 / $564.50	Professional		$352.81	$352.81	$564.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $245.77 / $745.98	Professional		$188.01	$245.77	$745.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $485.77 / $485.77 / $485.77	Facility		$485.77	$485.77	$485.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $485.77 / $485.77 / $485.77	Professional		$485.77	$485.77	$485.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $503.59 / $982.01	Professional		$283.32	$503.59	$982.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $183.52 / $220.22 / $520.38	Facility		$183.52	$220.22	$520.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.11 / $483.35 / $889.89	Professional		$347.11	$483.35	$889.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.38 / $315.38 / $315.38	Facility		$315.38	$315.38	$315.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.48 / $393.63 / $720.43	Professional		$275.48	$393.63	$720.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.74 / $444.87 / $618.40	Professional		$427.74	$444.87	$618.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $555.00	Facility		$386.44	$386.44	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $494.23 / $954.35	Professional		$320.29	$494.23	$954.35
United Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $451.93 / $776.62	Professional		$307.45	$451.93	$776.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $315.38 / $315.38 / $315.38	Facility		$315.38	$315.38	$315.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $310.68 / $499.55 / $827.01	Professional		$310.68	$499.55	$827.01