Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $163.82 / $220.61	Facility		$118.64	$163.82	$220.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $195.05 / $318.81	Professional		$141.18	$195.05	$318.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $195.29 / $201.03	Professional		$192.09	$195.29	$201.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $144.38 / $385.29	Professional		$116.26	$144.38	$385.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $293.55 / $293.55 / $293.55	Facility		$293.55	$293.55	$293.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $293.55 / $293.55	Professional		$293.55	$293.55	$293.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.29 / $237.70 / $332.00	Facility		$197.29	$237.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $293.81 / $443.30	Professional		$229.69	$293.81	$443.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.23 / $193.23 / $193.23	Facility		$193.23	$193.23	$193.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $229.95 / $414.67	Professional		$176.26	$229.95	$414.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $228.94 / $330.00	Professional		$208.05	$228.94	$330.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $555.00	Facility		$234.54	$234.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $218.18 / $438.57	Professional		$183.31	$218.18	$438.57
United Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $235.46 / $535.13	Professional		$178.60	$235.46	$535.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.23 / $193.23 / $193.23	Facility		$193.23	$193.23	$193.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $239.65 / $502.47	Professional		$197.66	$239.65	$502.47