Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.29 / $81.01 / $131.86	Facility	26	$49.29	$81.01	$131.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $287.69 / $525.10	Professional		$213.49	$287.69	$525.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.29 / $61.58 / $105.35	Professional	26	$49.29	$61.58	$105.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.05 / $81.05 / $81.05	Professional	26	$81.05	$81.05	$81.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $290.58 / $806.60	Professional		$222.29	$290.58	$806.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $63.70 / $136.46	Professional	26	$49.21	$63.70	$136.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $244.25 / $328.13	Professional		$83.88	$244.25	$328.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $457.19 / $1,276.18	Professional		$211.88	$457.19	$1,276.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $81.03 / $179.66	Professional	26	$44.10	$81.03	$179.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $335.89 / $574.85	Professional		$248.73	$335.89	$574.85
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $73.55 / $128.56	Professional	26	$53.85	$73.55	$128.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.78 / $356.97 / $494.37	Professional		$222.78	$356.97	$494.37
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.99 / $82.38 / $120.03	Professional	26	$39.99	$82.38	$120.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.42 / $68.42 / $68.42	Professional	26	$68.42	$68.42	$68.42
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $406.36 / $995.67	Professional		$253.88	$406.36	$995.67
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $79.02 / $176.25	Professional	26	$44.50	$79.02	$176.25
United Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $325.51 / $661.45	Professional		$225.78	$325.51	$661.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.00 / $62.74 / $141.10	Professional	26	$49.00	$62.74	$141.10
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $66.95 / $66.95 / $195.81	Facility	26	$66.95	$66.95	$195.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.41 / $393.06 / $632.57	Professional		$235.41	$393.06	$632.57
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $39.99 / $88.11 / $157.90	Professional	26	$39.99	$88.11	$157.90