Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.26 / $37.07 / $66.47	Facility	26	$27.26	$37.07	$66.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $59.01 / $165.82	Professional		$45.97	$59.01	$165.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $35.78 / $113.04	Professional	26	$27.26	$35.78	$113.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $57.25 / $145.54	Professional		$44.71	$57.25	$145.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $34.19 / $73.34	Professional	26	$26.93	$34.19	$73.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $41.41 / $68.52	Professional		$27.11	$41.41	$68.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.26 / $33.26 / $33.26	Facility	26	$33.26	$33.26	$33.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $93.53 / $195.86	Professional		$56.07	$93.53	$195.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.76 / $57.77 / $110.30	Professional	26	$33.76	$57.77	$110.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $65.70 / $144.12	Professional		$57.93	$65.70	$144.12
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $38.67 / $85.09	Professional	26	$33.86	$38.67	$85.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.92 / $90.95	Professional		$38.90	$45.92	$90.95
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $30.75 / $53.52	Professional	26	$23.52	$30.75	$53.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $115.89 / $115.89	Professional		$115.89	$115.89	$115.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.37 / $68.37 / $68.37	Professional	26	$68.37	$68.37	$68.37
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $33.26 / $33.26 / $33.26	Facility	26	$33.26	$33.26	$33.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $88.13 / $195.44	Professional		$53.69	$88.13	$195.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $33.76 / $51.66 / $104.44	Professional	26	$33.76	$51.66	$104.44
United Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $62.64 / $138.54	Professional		$43.44	$62.64	$138.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $38.70 / $86.04	Professional	26	$26.89	$38.70	$86.04
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $31.15 / $31.15 / $109.43	Facility	26	$31.15	$31.15	$109.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $52.94 / $102.85	Professional		$42.58	$52.94	$102.85
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $31.15 / $60.51	Professional	26	$26.31	$31.15	$60.51