Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,951.21 / $7,762.47	Facility		$489.78	$2,951.21	$7,762.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $177.83 / $234.42	Facility	26	$144.54	$177.83	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,318.26	Professional		$346.74	$489.78	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $169.82 / $512.86	Professional	26	$123.03	$169.82	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $302.00 / $602.56	Professional	TC	$234.42	$302.00	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $912.01	Professional		$346.74	$436.52	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $138.04 / $316.23	Professional	26	$107.15	$138.04	$316.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $295.12 / $602.56	Professional	TC	$239.88	$295.12	$602.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $16,595.87	Facility		$177.83	$380.19	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $562.34	Professional		$177.83	$380.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $53,703.18	Facility		$34.67	$575.44	$53,703.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $147.91 / $213.80	Facility	26	$32.36	$147.91	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,659.59	Professional		$354.81	$660.69	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $234.42 / $562.34	Professional	26	$128.82	$234.42	$562.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $446.68 / $1,096.48	Professional	TC	$239.88	$446.68	$1,096.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $616.60	Facility		$79.43	$257.04	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $724.44	Professional		$380.19	$501.19	$724.44
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $177.83 / $251.19	Professional	26	$131.83	$177.83	$251.19
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $331.13 / $467.74	Professional	TC	$269.15	$331.13	$467.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $812.83	Professional		$263.03	$489.78	$812.83
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $169.82 / $263.03	Professional	26	$100.00	$169.82	$263.03
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $331.13 / $549.54	Professional	TC	$177.83	$331.13	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $50,118.72 / $75,857.76	Facility		$257.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $794.33	Professional		$398.11	$489.78	$794.33
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $177.83 / $323.59	Professional	26	$147.91	$177.83	$323.59
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $338.84 / $676.08	Professional	TC	$288.40	$338.84	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,311.31 / $6,165.95	Facility		$1,479.11	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,047.13	Professional		$288.40	$416.87	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $144.54 / $380.19	Professional	26	$102.33	$144.54	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $691.83	Professional	TC	$190.55	$275.42	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $933.25	Facility		$309.03	$489.78	$933.25
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $162.18 / $380.19	Facility	26	$102.33	$162.18	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $977.24	Professional		$281.84	$489.78	$977.24
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $162.18 / $371.54	Professional	26	$100.00	$162.18	$371.54
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $331.13 / $645.65	Professional	TC	$181.97	$331.13	$645.65