Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $195.64 / $392.93	Facility		$70.31	$195.64	$392.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $233.04 / $257.58 / $425.20	Facility	25	$233.04	$257.58	$425.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $126.15 / $239.96	Professional		$70.31	$126.15	$239.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $103.04 / $151.44 / $320.00	Professional	25	$103.04	$151.44	$320.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $122.89 / $140.93	Professional		$116.81	$122.89	$140.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $122.89 / $132.47 / $190.02	Professional	25	$122.89	$132.47	$190.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $94.73 / $228.74	Professional		$72.45	$94.73	$228.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $185.86 / $185.86	Facility		$185.86	$185.86	$185.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $185.86 / $185.86	Professional		$185.86	$185.86	$185.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $201.76 / $414.12	Facility		$102.00	$201.76	$414.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $178.58 / $265.35	Professional		$143.26	$178.58	$265.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.28 / $122.28 / $155.30	Facility		$122.28	$122.28	$155.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $155.30 / $263.99	Professional		$102.45	$155.30	$263.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $160.13 / $310.77	Professional		$126.54	$160.13	$310.77
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $138.16 / $144.29 / $154.05	Professional	25	$138.16	$144.29	$154.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $119.02 / $261.55	Professional		$116.36	$119.02	$261.55
United Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $133.03 / $263.27	Professional		$100.30	$133.03	$263.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.28 / $141.19 / $155.30	Facility		$122.28	$141.19	$155.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $155.30 / $308.30	Professional		$115.77	$155.30	$308.30