Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.80 / $39.42 / $103.29	Facility	26	$17.80	$39.42	$103.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $115.71 / $247.73	Professional		$80.72	$115.71	$247.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $33.95 / $77.81	Professional	26	$18.82	$33.95	$77.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $43.51 / $54.39	Professional	26	$21.20	$43.51	$54.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $106.08 / $274.00	Professional		$81.15	$106.08	$274.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $24.34 / $64.78	Professional	26	$18.62	$24.34	$64.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $121.17 / $177.02	Professional		$55.85	$121.17	$177.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $155.78 / $437.17	Professional		$86.20	$155.78	$437.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.76 / $40.40 / $113.36	Professional	26	$23.76	$40.40	$113.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $140.62 / $245.28	Professional		$102.94	$140.62	$245.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $49.54 / $79.31	Professional	26	$36.04	$49.54	$79.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $143.11 / $256.48	Professional		$72.38	$143.11	$256.48
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $50.47 / $81.11	Professional	26	$12.76	$50.47	$81.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $126.11 / $183.45	Professional		$124.74	$126.11	$183.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $41.79 / $91.50	Professional	26	$36.40	$41.79	$91.50
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $159.26 / $366.65	Professional		$85.80	$159.26	$366.65
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.11 / $44.95 / $101.64	Professional	26	$25.11	$44.95	$101.64
United Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $123.07 / $267.01	Professional		$87.42	$123.07	$267.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $39.53 / $89.65	Professional	26	$27.76	$39.53	$89.65
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $44.51 / $44.51 / $75.04	Facility	26	$44.51	$44.51	$75.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $177.11 / $309.10	Professional		$72.38	$177.11	$309.10
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $57.27 / $100.57	Professional	26	$12.76	$57.27	$100.57