Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.96 / $67.81 / $135.76	Facility	26	$39.96	$67.81	$135.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $202.99 / $384.67	Professional		$165.06	$202.99	$384.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $53.09 / $90.51	Professional	26	$37.72	$53.09	$90.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $45.83 / $45.83	Professional	26	$45.83	$45.83	$45.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $214.04 / $507.16	Professional		$167.31	$214.04	$507.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $51.23 / $114.60	Professional	26	$39.19	$51.23	$114.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $237.19 / $323.55	Professional		$86.36	$237.19	$323.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $283.95 / $746.51	Professional		$165.47	$283.95	$746.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $73.52 / $173.36	Professional	26	$42.52	$73.52	$173.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $252.44 / $438.92	Professional		$184.70	$252.44	$438.92
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.99 / $76.84 / $123.18	Professional	26	$55.99	$76.84	$123.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $257.95 / $462.32	Professional		$137.13	$257.95	$462.32
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $78.39 / $126.89	Professional	26	$26.84	$78.39	$126.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.42 / $126.11 / $126.11	Professional	26	$28.42	$126.11	$126.11
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $293.57 / $690.44	Professional		$163.81	$293.57	$690.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $75.28 / $166.21	Professional	26	$42.52	$75.28	$166.21
United Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $221.66 / $482.28	Professional		$159.02	$221.66	$482.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $63.11 / $136.50	Professional	26	$46.20	$63.11	$136.50
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $69.63 / $69.63 / $158.38	Facility	26	$69.63	$69.63	$158.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $316.92 / $557.16	Professional		$154.06	$316.92	$557.16
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $88.94 / $157.35	Professional	26	$26.84	$88.94	$157.35