Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.20 / $74.81 / $122.94	Facility	26	$46.20	$74.81	$122.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $157.79 / $342.00	Professional		$100.27	$157.79	$342.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $126.01 / $430.64	Professional		$96.39	$126.01	$430.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $93.96 / $170.54	Professional		$76.58	$93.96	$170.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $233.07 / $683.72	Professional		$92.05	$233.07	$683.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $160.37 / $513.04	Professional		$118.31	$160.37	$513.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $139.58 / $240.10	Professional		$92.56	$139.58	$240.10
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Professional		$102.93	$102.93	$102.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.76 / $144.76 / $144.76	Professional		$144.76	$144.76	$144.76
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $215.91 / $665.00	Professional		$105.16	$215.91	$665.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $142.75 / $507.68	Professional		$102.83	$142.75	$507.68
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $61.13 / $61.13 / $180.39	Facility	26	$61.13	$61.13	$180.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $167.97 / $302.00	Professional		$114.33	$167.97	$302.00