Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.53 / $32.88 / $53.57	Facility	26	$19.53	$32.88	$53.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $120.32 / $220.90	Professional		$85.78	$120.32	$220.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $22.28 / $39.60	Professional	26	$18.02	$22.28	$39.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $109.52 / $287.04	Professional		$83.78	$109.52	$287.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.91 / $24.73 / $55.20	Professional	26	$18.91	$24.73	$55.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $157.46 / $190.82	Professional		$33.36	$157.46	$190.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $160.97 / $444.92	Professional		$98.33	$160.97	$444.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.34 / $32.64 / $70.98	Professional	26	$17.34	$32.64	$70.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $156.21 / $269.26	Professional		$114.10	$156.21	$269.26
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $29.40 / $47.39	Professional	26	$21.54	$29.40	$47.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $157.99 / $283.14	Professional		$76.06	$157.99	$283.14
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $30.16 / $49.42	Professional	26	$13.32	$30.16	$49.42
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $168.60 / $417.55	Professional		$100.00	$168.60	$417.55
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $31.44 / $67.02	Professional	26	$18.00	$31.44	$67.02
United Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $129.91 / $299.72	Professional		$98.56	$129.91	$299.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $24.90 / $54.22	Professional	26	$19.48	$24.90	$54.22
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $27.12 / $78.53	Facility	26	$27.12	$27.12	$78.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $194.42 / $341.24	Professional		$76.06	$194.42	$341.24
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $34.22 / $62.77	Professional	26	$13.32	$34.22	$62.77