Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.54 / $21.29 / $119.21	Facility	26	$14.54	$21.29	$119.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $370.50 / $525.00	Professional		$55.50	$370.50	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $111.15 / $254.90	Professional	26	$13.02	$111.15	$254.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $55.58 / $151.46	Professional		$43.83	$55.58	$151.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $12.55 / $28.08	Professional	26	$9.89	$12.55	$28.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $56.34 / $73.51	Professional		$17.17	$56.34	$73.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $98.45 / $232.52	Professional		$41.28	$98.45	$232.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $16.44 / $35.72	Professional	26	$8.83	$16.44	$35.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $63.35 / $123.78	Professional		$46.74	$63.35	$123.78
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $15.14 / $24.40	Professional	26	$11.09	$15.14	$24.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $61.27 / $98.30	Professional		$42.09	$61.27	$98.30
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $15.52 / $25.16	Professional	26	$6.86	$15.52	$25.16
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.13 / $24.13 / $24.85	Professional	26	$24.13	$24.13	$24.85
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $85.93 / $187.73	Professional		$45.51	$85.93	$187.73
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $15.95 / $35.24	Professional	26	$8.97	$15.95	$35.24
United Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $60.54 / $132.32	Professional		$42.33	$60.54	$132.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $12.72 / $34.06	Professional	26	$10.09	$12.72	$34.06
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $31.67	Facility	26	$13.80	$13.80	$31.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $66.86 / $125.42	Professional		$46.81	$66.86	$125.42
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $17.61 / $31.60	Professional	26	$6.86	$17.61	$31.60