Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.72 / $31.06 / $51.11	Facility	26	$21.72	$31.06	$51.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $60.71 / $104.19	Professional		$40.34	$60.71	$104.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $23.19 / $41.01	Professional	26	$19.39	$23.19	$41.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $70.39 / $148.96	Professional		$57.22	$70.39	$148.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $31.51 / $58.29	Professional	26	$25.88	$31.51	$58.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $33.79 / $65.63	Professional		$31.83	$33.79	$65.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $97.32 / $175.71	Professional		$45.10	$97.32	$175.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $36.40 / $72.28	Professional	26	$17.39	$36.40	$72.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $64.48 / $98.82	Professional		$47.75	$64.48	$98.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $29.14 / $46.55	Professional	26	$21.16	$29.14	$46.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $60.89 / $98.70	Professional		$40.40	$60.89	$98.70
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $29.62 / $47.31	Professional	26	$16.02	$29.62	$47.31
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $87.85 / $168.68	Professional		$49.58	$87.85	$168.68
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $33.00 / $66.56	Professional	26	$19.87	$33.00	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $56.66 / $122.68	Professional		$38.17	$56.66	$122.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $24.25 / $55.23	Professional	26	$17.48	$24.25	$55.23
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $25.96 / $25.96 / $92.68	Facility	26	$25.96	$25.96	$92.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $62.59 / $123.26	Professional		$47.00	$62.59	$123.26
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $30.00 / $59.44	Professional	26	$16.02	$30.00	$59.44