Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.80 / $74.12 / $159.57	Facility	26	$42.80	$74.12	$159.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $138.53 / $277.77	Professional		$106.99	$138.53	$277.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $131.66 / $348.80	Professional		$100.72	$131.66	$348.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $99.69 / $199.10	Professional		$99.41	$99.69	$199.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $187.33 / $416.32	Professional		$103.58	$187.33	$416.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $169.02 / $271.99	Professional		$123.63	$169.02	$271.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $157.31 / $281.94	Professional		$103.98	$157.31	$281.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Professional		$152.16	$152.16	$152.16
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $186.48 / $405.90	Professional		$112.84	$186.48	$405.90
United Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $134.71 / $278.93	Professional		$101.10	$134.71	$278.93
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $79.50 / $79.50 / $170.90	Facility	26	$79.50	$79.50	$170.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $196.39 / $349.60	Professional		$103.98	$196.39	$349.60