Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.86 / $25.44 / $54.44	Facility	26	$14.86	$25.44	$54.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $166.25 / $291.43	Professional		$64.04	$166.25	$291.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $24.95 / $59.75	Professional	26	$13.74	$24.95	$59.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $23.23 / $34.77	Professional	26	$13.50	$23.23	$34.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $393.93 / $717.42	Professional		$122.58	$393.93	$717.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $17.67 / $44.42	Professional	26	$13.51	$17.67	$44.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $72.47 / $107.81	Professional		$35.34	$72.47	$107.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $143.30 / $284.29	Professional		$64.78	$143.30	$284.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $29.23 / $70.79	Professional	26	$16.84	$29.23	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $108.89 / $163.33	Professional		$80.33	$108.89	$163.33
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.13 / $31.56 / $50.89	Professional	26	$23.13	$31.56	$50.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $101.47 / $164.47	Professional		$63.40	$101.47	$164.47
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $32.38 / $51.78	Professional	26	$9.99	$32.38	$51.78
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $21.20 / $21.20	Professional	26	$21.20	$21.20	$21.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.54 / $36.58 / $51.15	Professional	26	$25.54	$36.58	$51.15
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $107.10 / $278.27	Professional		$50.00	$107.10	$278.27
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $29.86 / $69.20	Professional	26	$16.98	$29.86	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $89.25 / $264.85	Professional		$63.81	$89.25	$264.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $25.55 / $56.84	Professional	26	$18.98	$25.55	$56.84
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $28.41 / $28.41 / $58.44	Facility	26	$28.41	$28.41	$58.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $115.13 / $204.26	Professional		$78.31	$115.13	$204.26
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $36.70 / $64.20	Professional	26	$9.99	$36.70	$64.20