Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $56.54 / $92.24	Facility	26	$32.40	$56.54	$92.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $98.92 / $187.37	Professional		$70.20	$98.92	$187.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $39.69 / $69.34	Professional	26	$31.48	$39.69	$69.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $89.03 / $238.49	Professional		$68.09	$89.03	$238.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $42.04 / $94.92	Professional	26	$32.15	$42.04	$94.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $95.87 / $154.54	Professional		$58.68	$95.87	$154.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $143.19 / $344.95	Professional		$78.16	$143.19	$344.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $56.21 / $125.45	Professional	26	$29.74	$56.21	$125.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $133.77 / $228.67	Professional		$107.79	$133.77	$228.67
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $54.19 / $87.01	Professional	26	$39.54	$54.19	$87.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $128.79 / $230.82	Professional		$63.53	$128.79	$230.82
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $55.36 / $88.18	Professional	26	$22.41	$55.36	$88.18
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $142.91 / $316.16	Professional		$88.06	$142.91	$316.16
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $55.62 / $120.53	Professional	26	$31.24	$55.62	$120.53
United Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $114.41 / $234.90	Professional		$90.87	$114.41	$234.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.94 / $44.54 / $103.93	Professional	26	$33.94	$44.54	$103.93
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $48.39 / $48.39 / $135.78	Facility	26	$48.39	$48.39	$135.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $163.30 / $287.70	Professional		$63.53	$163.30	$287.70
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $62.82 / $109.91	Professional	26	$22.41	$62.82	$109.91