Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $150.71 / $202.93	Facility		$114.40	$150.71	$202.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $181.84 / $229.31	Professional		$130.86	$181.84	$229.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $179.16 / $198.97	Professional		$176.49	$179.16	$198.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $180.70 / $371.59	Professional		$147.06	$180.70	$371.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $266.23 / $266.23 / $266.23	Facility		$266.23	$266.23	$266.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $266.23 / $266.23	Professional		$266.23	$266.23	$266.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.81 / $223.91 / $332.00	Facility		$185.81	$223.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $260.64 / $403.29	Professional		$208.96	$260.64	$403.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.39 / $177.39 / $177.39	Facility		$177.39	$177.39	$177.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $211.10 / $382.51	Professional		$169.99	$211.10	$382.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.37 / $207.63 / $290.00	Professional		$192.37	$207.63	$290.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $555.00	Facility		$217.02	$217.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $201.43 / $416.39	Professional		$167.84	$201.43	$416.39
United Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $217.99 / $468.08	Professional		$164.49	$217.99	$468.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $177.39 / $177.39 / $177.39	Facility		$177.39	$177.39	$177.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $220.00 / $463.50	Professional		$182.34	$220.00	$463.50