Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $66.07 / $114.82	Facility	26	$38.02	$66.07	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $229.09	Professional		$46.77	$79.43	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $81.28	Professional	26	$28.84	$39.81	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $169.82	Professional		$63.10	$75.86	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $40.74 / $85.11	Professional	26	$33.11	$40.74	$85.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $112.20 / $251.19	Professional	50	$95.50	$112.20	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $81.28	Professional		$30.90	$50.12	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $239.88	Professional		$52.48	$114.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $58.88 / $123.03	Professional	26	$30.90	$58.88	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $114.82	Professional		$58.88	$74.13	$114.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $53.70 / $125.89	Professional	26	$35.48	$53.70	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $131.83	Professional		$52.48	$83.18	$131.83
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $48.98 / $83.18	Professional	26	$28.18	$48.98	$83.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $151.36	Professional		$70.79	$87.10	$151.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $48.98 / $79.43	Professional	26	$40.74	$48.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $158.49	Professional		$44.67	$66.07	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $83.18	Professional	26	$25.70	$37.15	$83.18
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $41.69 / $158.49	Facility	26	$28.84	$41.69	$158.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $151.36	Professional		$46.77	$74.13	$151.36
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $46.77 / $102.33	Professional	26	$28.84	$46.77	$102.33