Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.68 / $56.08 / $94.16	Facility	26	$32.68	$56.08	$94.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $113.22 / $200.65	Professional		$76.23	$113.22	$200.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.93 / $39.17 / $67.11	Professional	26	$31.93	$39.17	$67.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $94.30 / $282.23	Professional		$72.13	$94.30	$282.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.26 / $42.18 / $93.03	Professional	26	$32.26	$42.18	$93.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $99.69 / $158.34	Professional		$58.65	$99.69	$158.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $168.37 / $450.68	Professional		$83.80	$168.37	$450.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.27 / $55.00 / $128.40	Professional	26	$29.27	$55.00	$128.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $150.40 / $325.49	Professional		$111.56	$150.40	$325.49
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $52.04 / $82.08	Professional	26	$37.31	$52.04	$82.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $144.10 / $234.96	Professional		$87.88	$144.10	$234.96
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $52.23 / $83.97	Professional	26	$22.98	$52.23	$83.97
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $163.77 / $445.31	Professional		$89.32	$163.77	$445.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $54.92 / $125.15	Professional	26	$31.43	$54.92	$125.15
United Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $125.51 / $327.06	Professional		$90.43	$125.51	$327.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.01 / $43.67 / $115.79	Professional	26	$34.01	$43.67	$115.79
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $46.08 / $46.08 / $135.13	Facility	26	$46.08	$46.08	$135.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $163.51 / $294.67	Professional		$87.88	$163.51	$294.67
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $59.27 / $106.36	Professional	26	$22.98	$59.27	$106.36