Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $362.38 / $1,754.74	Facility		$163.19	$362.38	$1,754.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $179.98 / $1,311.97	Professional		$176.44	$179.98	$1,311.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $141.16 / $176.45	Facility		$141.16	$141.16	$176.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $176.45 / $423.81	Professional		$165.86	$176.45	$423.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $200.73 / $200.73 / $210.77	Facility		$200.73	$200.73	$210.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $200.73 / $200.73	Professional		$200.73	$200.73	$200.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $210.19 / $460.73	Facility		$166.46	$210.19	$460.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $249.69	Professional		$176.45	$176.45	$249.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $249.69 / $374.54	Facility		$180.00	$249.69	$374.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $195.56 / $264.68	Professional		$183.11	$195.56	$264.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $179.78	Facility		$176.45	$176.45	$179.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $179.78 / $179.78	Professional		$176.45	$179.78	$179.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $461.61 / $494.68	Facility		$175.95	$461.61	$494.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $216.50 / $460.73	Facility		$166.46	$216.50	$460.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $514.34	Professional		$176.45	$176.45	$514.34
United Facility/Professional Professional Modifier Low / Median / High Price $171.42 / $185.27 / $270.74	Professional		$171.42	$185.27	$270.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $179.78 / $179.78 / $179.78	Facility		$179.78	$179.78	$179.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $179.78 / $179.78	Professional		$176.45	$179.78	$179.78