Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.81 / $238.80 / $442.03	Facility		$186.81	$238.80	$442.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $238.80 / $739.14	Professional		$174.45	$238.80	$739.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.47 / $343.47 / $343.47	Professional		$343.47	$343.47	$343.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.74 / $559.71 / $1,097.48	Facility		$548.74	$559.71	$1,097.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $246.56 / $801.56	Professional		$246.56	$246.56	$801.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $425.18 / $457.18 / $457.18	Facility		$425.18	$457.18	$457.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.18 / $457.18 / $457.18	Professional		$457.18	$457.18	$457.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $264.44	Facility		$261.02	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $264.44	Professional		$193.04	$193.04	$264.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $548.74 / $1,234.67	Facility		$319.00	$548.74	$1,234.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.76 / $411.56 / $987.73	Professional		$323.76	$411.56	$987.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.08 / $416.08 / $416.08	Facility		$416.08	$416.08	$416.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $350.52 / $457.18	Professional		$329.90	$350.52	$457.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $445.10 / $445.10	Professional		$445.10	$445.10	$445.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $555.00	Facility		$261.02	$264.44	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $651.27	Professional		$193.04	$264.44	$651.27
United Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $273.76 / $493.87	Professional		$182.50	$273.76	$493.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $329.90 / $329.90 / $342.83	Facility		$329.90	$329.90	$342.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $329.90 / $416.08	Professional		$329.90	$329.90	$416.08