Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $136.38 / $217.18	Facility		$92.70	$136.38	$217.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $129.34 / $361.20	Professional		$92.70	$129.34	$361.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $225.28 / $429.00	Professional		$113.21	$225.28	$429.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $106.88 / $263.44	Professional		$82.48	$106.88	$263.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $173.50 / $173.50	Facility		$173.50	$173.50	$173.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $173.50 / $173.50	Professional		$173.50	$173.50	$173.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $179.86 / $415.16	Professional		$101.23	$179.86	$415.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $114.00 / $332.00	Facility		$95.00	$114.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $171.94 / $315.58	Professional		$123.35	$171.94	$315.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $112.28 / $112.28	Facility		$112.28	$112.28	$112.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $140.13 / $257.81	Professional		$107.74	$140.13	$257.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $158.90 / $292.18	Professional		$155.62	$158.90	$292.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $555.00	Facility		$138.29	$138.29	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $174.02 / $356.90	Professional		$120.47	$174.02	$356.90
United Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $161.00 / $276.27	Professional		$110.75	$161.00	$276.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $112.28 / $112.28	Facility		$112.28	$112.28	$112.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $178.76 / $295.95	Professional		$116.42	$178.76	$295.95