Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.59 / $84.69 / $139.43	Facility	26	$51.59	$84.69	$139.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $282.30 / $531.82	Professional		$189.71	$282.30	$531.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $64.41 / $111.75	Professional	26	$51.59	$64.41	$111.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $275.77 / $770.05	Professional		$217.48	$275.77	$770.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.19 / $65.09 / $143.82	Professional	26	$51.19	$65.09	$143.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $216.18 / $303.04	Professional		$86.86	$216.18	$303.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.05 / $444.12 / $1,025.08	Professional		$190.05	$444.12	$1,025.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.80 / $84.41 / $185.53	Professional	26	$45.80	$84.41	$185.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $304.16 / $544.73	Professional		$208.02	$304.16	$544.73
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.62 / $77.72 / $124.56	Professional	26	$56.62	$77.72	$124.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $312.38 / $422.60	Professional		$187.25	$312.38	$422.60
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.56 / $86.63 / $126.23	Professional	26	$41.56	$86.63	$126.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $247.18 / $283.29	Professional		$247.18	$247.18	$283.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.38 / $122.38 / $122.38	Professional	26	$122.38	$122.38	$122.38
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.83 / $366.28 / $996.13	Professional		$229.83	$366.28	$996.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $46.27 / $82.50 / $181.44	Professional	26	$46.27	$82.50	$181.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $290.24 / $581.74	Professional		$194.04	$290.24	$581.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.52 / $68.31 / $172.34	Professional	26	$51.52	$68.31	$172.34
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $70.42 / $70.42 / $204.91	Facility	26	$70.42	$70.42	$204.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.58 / $333.30 / $557.59	Professional		$204.58	$333.30	$557.59
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $41.56 / $92.66 / $165.07	Professional	26	$41.56	$92.66	$165.07