Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.65 / $123.80 / $212.39	Facility	26	$74.65	$123.80	$212.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $205.79 / $418.44	Professional		$132.33	$205.79	$418.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $85.11 / $163.29	Professional	26	$67.62	$85.11	$163.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $174.84 / $507.75	Professional		$133.75	$174.84	$507.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.98 / $98.78 / $200.98	Professional	26	$77.98	$98.78	$200.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $135.10 / $233.35	Professional		$98.25	$135.10	$233.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.16 / $311.62 / $777.59	Professional		$125.16	$311.62	$777.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.06 / $124.44 / $285.83	Professional	26	$68.06	$124.44	$285.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $217.42 / $562.96	Professional		$160.38	$217.42	$562.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.86 / $121.34 / $191.09	Professional	26	$86.86	$121.34	$191.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $184.80 / $331.21	Professional		$127.68	$184.80	$331.21
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $121.60 / $196.39	Professional	26	$49.06	$121.60	$196.39
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $288.33 / $777.59	Professional		$137.22	$288.33	$777.59
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $69.69 / $124.53 / $277.99	Professional	26	$69.69	$124.53	$277.99
United Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $193.37 / $556.99	Professional		$139.54	$193.37	$556.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.88 / $99.97 / $210.30	Professional	26	$75.88	$99.97	$210.30
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $107.77 / $107.77 / $291.13	Facility	26	$107.77	$107.77	$291.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $230.88 / $416.00	Professional		$157.72	$230.88	$416.00
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $137.97 / $243.52	Professional	26	$49.06	$137.97	$243.52