Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $176.64 / $326.98	Facility		$138.18	$176.64	$326.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $227.90 / $280.85	Professional		$138.18	$227.90	$280.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $298.82 / $298.82	Professional		$298.82	$298.82	$298.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.92 / $414.04 / $811.84	Facility		$405.92	$414.04	$811.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.17 / $230.17 / $637.57	Professional		$230.17	$230.17	$637.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $314.52 / $338.19 / $338.19	Facility		$314.52	$338.19	$338.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.19 / $338.19 / $338.19	Professional		$338.19	$338.19	$338.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $405.92 / $913.32	Facility		$319.00	$405.92	$913.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.08 / $304.44 / $730.66	Professional		$210.08	$304.44	$730.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.60 / $262.60 / $262.60	Facility		$262.60	$262.60	$262.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $259.27 / $315.12	Professional		$244.03	$259.27	$315.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $329.25 / $329.25	Professional		$329.25	$329.25	$329.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $555.00	Facility		$225.12	$237.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $522.62	Professional		$173.08	$237.10	$522.62
United Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $205.08 / $371.26	Professional		$135.00	$205.08	$371.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $244.03 / $244.03 / $253.58	Facility		$244.03	$244.03	$253.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $244.03 / $262.60	Professional		$244.03	$244.03	$262.60