Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.53 / $20.69 / $33.79	Facility	26	$12.53	$20.69	$33.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $85.79 / $166.51	Professional		$61.05	$85.79	$166.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $14.46 / $26.90	Professional	26	$11.81	$14.46	$26.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $71.72 / $216.61	Professional		$54.86	$71.72	$216.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $15.90 / $35.60	Professional	26	$12.16	$15.90	$35.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $110.67 / $131.71	Professional		$21.05	$110.67	$131.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $116.97 / $323.80	Professional		$70.33	$116.97	$323.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $20.79 / $44.94	Professional	26	$11.17	$20.79	$44.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $120.69 / $208.69	Professional		$86.75	$120.69	$208.69
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.20 / $19.67 / $31.24	Professional	26	$14.20	$19.67	$31.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $120.50 / $215.96	Professional		$60.88	$120.50	$215.96
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $19.88 / $32.22	Professional	26	$8.71	$19.88	$32.22
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $121.22 / $265.86	Professional		$69.05	$121.22	$265.86
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $20.04 / $43.17	Professional	26	$12.03	$20.04	$43.17
United Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $92.55 / $210.46	Professional		$67.06	$92.55	$210.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $15.16 / $33.72	Professional	26	$11.83	$15.16	$33.72
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $17.68 / $17.68 / $50.57	Facility	26	$17.68	$17.68	$50.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $149.16 / $260.27	Professional		$60.88	$149.16	$260.27
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $22.56 / $39.61	Professional	26	$8.71	$22.56	$39.61