Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.74 / $166.95 / $338.83	Facility		$114.74	$166.95	$338.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $195.32 / $468.05	Professional		$137.32	$195.32	$468.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.43 / $447.43 / $450.00	Professional		$447.43	$447.43	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.62 / $330.09 / $647.24	Facility		$323.62	$330.09	$647.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.09 / $216.09 / $561.83	Professional		$216.09	$216.09	$561.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $269.63 / $269.63	Facility		$250.76	$269.63	$269.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $269.63 / $269.63	Professional		$269.63	$269.63	$269.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $291.73	Professional		$156.34	$156.34	$291.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $728.15	Facility		$319.00	$346.00	$728.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $271.83 / $589.64	Professional		$190.94	$271.83	$589.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $217.45 / $269.63	Professional		$204.66	$217.45	$269.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $315.00 / $315.00	Facility		$315.00	$315.00	$315.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $283.50 / $283.50	Professional		$283.50	$283.50	$283.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $291.73 / $555.00	Facility		$214.16	$291.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $193.39 / $416.67	Professional		$156.34	$193.39	$416.67
United Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $154.24 / $165.61	Facility		$119.63	$154.24	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $174.91 / $296.00	Professional		$107.64	$174.91	$296.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.66 / $204.66 / $204.66	Facility		$204.66	$204.66	$204.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $204.66 / $217.45	Professional		$204.66	$204.66	$217.45