Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.94 / $113.47 / $228.24	Facility	26	$83.94	$113.47	$228.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $342.76 / $668.19	Professional		$243.91	$342.76	$668.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $91.25 / $191.84	Professional	26	$74.31	$91.25	$191.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.20 / $80.61 / $90.80	Professional	26	$47.20	$80.61	$90.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $343.08 / $891.39	Professional		$262.45	$343.08	$891.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.11 / $91.44 / $201.53	Professional	26	$72.11	$91.44	$201.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $244.15 / $367.63	Professional		$123.48	$244.15	$367.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $544.23 / $1,348.08	Professional		$249.88	$544.23	$1,348.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.11 / $116.11 / $262.75	Professional	26	$64.11	$116.11	$262.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $374.27 / $642.74	Professional		$276.10	$374.27	$642.74
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.95 / $110.19 / $175.89	Professional	26	$79.95	$110.19	$175.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $398.35 / $551.67	Professional		$248.57	$398.35	$551.67
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.26 / $122.32 / $177.08	Professional	26	$59.26	$122.32	$177.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.87 / $299.87 / $303.17	Professional		$299.87	$299.87	$303.17
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.35 / $100.72 / $154.65	Professional	26	$94.35	$100.72	$154.65
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $477.12 / $1,172.54	Professional		$275.00	$477.12	$1,172.54
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $65.90 / $116.00 / $254.28	Professional	26	$65.90	$116.00	$254.28
United Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $396.04 / $782.51	Professional		$269.64	$396.04	$782.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.59 / $91.67 / $204.95	Professional	26	$71.59	$91.67	$204.95
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $98.79 / $98.79 / $284.05	Facility	26	$98.79	$98.79	$284.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $425.80 / $706.56	Professional		$262.70	$425.80	$706.56
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $59.26 / $129.99 / $232.10	Professional	26	$59.26	$129.99	$232.10