Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.75 / $119.21 / $227.50	Facility	26	$104.75	$119.21	$227.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $402.08 / $753.82	Professional		$282.70	$402.08	$753.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $119.21 / $180.37	Professional	26	$82.50	$119.21	$180.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $339.38 / $1,036.46	Professional		$263.35	$339.38	$1,036.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.83 / $93.90 / $204.16	Professional	26	$71.83	$93.90	$204.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $306.80 / $430.21	Professional		$123.41	$306.80	$430.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $619.24 / $1,554.15	Professional		$241.30	$619.24	$1,554.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.96 / $119.44 / $266.48	Professional	26	$63.96	$119.44	$266.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $386.18 / $771.80	Professional		$284.89	$386.18	$771.80
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.42 / $108.87 / $174.72	Professional	26	$79.42	$108.87	$174.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $406.35 / $581.59	Professional		$256.64	$406.35	$581.59
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.99 / $100.08 / $176.44	Professional	26	$42.99	$100.08	$176.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $766.12 / $766.12	Professional		$766.12	$766.12	$766.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.08 / $107.08 / $206.45	Professional	26	$107.08	$107.08	$206.45
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $647.47 / $1,398.67	Professional		$278.05	$647.47	$1,398.67
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $65.81 / $133.34 / $262.08	Professional	26	$65.81	$133.34	$262.08
United Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $366.01 / $883.93	Professional		$256.64	$366.01	$883.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.31 / $91.82 / $237.78	Professional	26	$72.31	$91.82	$237.78
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $98.43 / $98.43 / $309.17	Facility	26	$98.43	$98.43	$309.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.55 / $428.83 / $769.07	Professional		$281.55	$428.83	$769.07
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $42.99 / $127.64 / $232.21	Professional	26	$42.99	$127.64	$232.21