Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $645.72 / $1,328.86	Facility		$157.46	$645.72	$1,328.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $157.47 / $220.32	Professional		$157.46	$157.47	$220.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $240.97	Professional		$135.00	$135.00	$240.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $227.54	Professional		$0.02	$0.04	$227.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $246.36 / $246.36 / $246.36	Facility		$246.36	$246.36	$246.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $246.36 / $246.36	Professional		$246.36	$246.36	$246.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Facility		$227.29	$227.29	$227.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.75 / $332.00 / $665.64	Facility		$274.75	$332.00	$665.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $360.92 / $552.72	Professional		$266.26	$360.92	$552.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.71 / $254.71 / $254.71	Facility		$254.71	$254.71	$254.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $399.01 / $663.57	Professional		$216.50	$399.01	$663.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.32 / $645.32 / $645.32	Facility		$645.32	$645.32	$645.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.10 / $339.10 / $339.10	Professional		$339.10	$339.10	$339.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $597.00	Facility		$227.29	$227.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
United Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $288.83 / $577.78	Professional		$178.42	$288.83	$577.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $285.80 / $285.80 / $285.80	Facility		$285.80	$285.80	$285.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $287.82 / $629.13	Professional		$234.33	$287.82	$629.13