Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $160.76 / $297.58	Facility		$125.76	$160.76	$297.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $203.06 / $790.00	Professional		$125.76	$203.06	$790.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $277.06 / $277.06	Professional		$277.06	$277.06	$277.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.41 / $376.80 / $738.82	Facility		$369.41	$376.80	$738.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $221.34 / $589.87	Professional		$221.34	$221.34	$589.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.23 / $307.77 / $307.77	Facility		$286.23	$307.77	$307.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $307.77 / $307.77 / $307.77	Professional		$307.77	$307.77	$307.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $369.41 / $831.17	Facility		$319.00	$369.41	$831.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $273.36 / $664.94	Professional		$212.05	$273.36	$664.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $265.06 / $265.06	Facility		$265.06	$265.06	$265.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.74 / $229.22 / $307.77	Professional		$215.74	$229.22	$307.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $299.64 / $299.64	Professional		$299.64	$299.64	$299.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $555.00	Facility		$211.27	$211.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $475.61	Professional		$154.22	$211.27	$475.61
United Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $196.79 / $337.88	Professional		$122.86	$196.79	$337.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $203.07 / $215.74 / $215.74	Facility		$203.07	$215.74	$215.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $215.74 / $215.74 / $265.06	Professional		$215.74	$215.74	$265.06