Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.08 / $118.30 / $149.62	Facility		$100.08	$118.30	$149.62
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $130.19 / $130.19 / $135.83	Facility	25	$130.19	$130.19	$135.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $131.84 / $264.83	Professional		$97.33	$131.84	$264.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $170.76 / $261.39 / $326.74	Professional	25	$170.76	$261.39	$326.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $158.88 / $170.46	Professional		$158.88	$158.88	$170.46
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.49 / $299.30 / $299.30	Professional	25	$156.49	$299.30	$299.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $157.22 / $282.91	Professional		$129.79	$157.22	$282.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.06 / $190.06 / $190.06	Facility		$190.06	$190.06	$190.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $190.06 / $236.37	Professional		$190.06	$190.06	$236.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $202.26 / $332.00	Facility		$75.00	$202.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $225.99 / $337.93	Professional		$181.49	$225.99	$337.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.12 / $155.72 / $197.78	Facility		$128.12	$155.72	$197.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $197.78 / $336.71	Professional		$136.43	$197.78	$336.71
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $720.20 / $720.20 / $720.20	Facility	25	$720.20	$720.20	$720.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $180.84 / $186.88	Professional		$104.20	$180.84	$186.88
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $132.37 / $132.37 / $132.37	Professional	25	$132.37	$132.37	$132.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $171.52 / $365.83	Professional		$147.90	$171.52	$365.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $186.94 / $364.94	Professional		$125.03	$186.94	$364.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $141.81 / $197.78	Facility		$141.81	$141.81	$197.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $197.78 / $393.23	Professional		$141.81	$197.78	$393.23