Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $131.38 / $208.62	Facility		$88.68	$131.38	$208.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $121.44 / $345.88	Professional		$88.68	$121.44	$345.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $217.37 / $411.58	Professional		$120.92	$217.37	$411.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $112.58 / $252.02	Professional		$88.79	$112.58	$252.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $166.69 / $166.69 / $166.69	Facility		$166.69	$166.69	$166.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $166.69	Professional		$166.69	$166.69	$166.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $172.48 / $343.65	Professional		$96.50	$172.48	$343.65
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 $118.89 / $165.66 / $304.48	Professional		$118.89	$165.66	$304.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $108.13 / $108.13	Facility		$108.13	$108.13	$108.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $134.94 / $247.64	Professional		$103.21	$134.94	$247.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $167.84 / $281.43	Professional		$150.69	$167.84	$281.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $555.00	Facility		$132.90	$132.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $167.36 / $331.23	Professional		$115.88	$167.36	$331.23
United Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $154.63 / $272.83	Professional		$106.89	$154.63	$272.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $108.13 / $108.13	Facility		$108.13	$108.13	$108.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $171.72 / $284.27	Professional		$111.83	$171.72	$284.27