Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.28 / $22.17 / $49.00	Facility	26	$14.28	$22.17	$49.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $87.72 / $230.59	Professional		$59.48	$87.72	$230.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $86.08 / $86.08	Professional		$86.08	$86.08	$86.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $74.13 / $211.37	Professional		$57.52	$74.13	$211.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $110.67 / $137.10	Professional		$26.43	$110.67	$137.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $119.77 / $288.43	Professional		$71.81	$119.77	$288.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $106.51 / $183.92	Professional		$83.60	$106.51	$183.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $109.74 / $195.92	Professional		$53.75	$109.74	$195.92
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $111.58 / $111.58	Professional		$99.01	$111.58	$111.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $130.07 / $136.22	Professional		$94.15	$130.07	$136.22
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $121.32 / $261.11	Professional		$74.01	$121.32	$261.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $92.50 / $192.76	Professional		$70.09	$92.50	$192.76
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $21.25 / $21.25 / $61.95	Facility	26	$21.25	$21.25	$61.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $132.81 / $237.03	Professional		$53.75	$132.81	$237.03