Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.11 / $73.29 / $164.27	Facility	26	$47.11	$73.29	$164.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $147.87 / $453.49	Professional		$110.85	$147.87	$453.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $114.20 / $114.20	Professional		$114.20	$114.20	$114.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $175.59 / $344.53	Professional		$141.57	$175.59	$344.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $119.74 / $201.35	Professional		$81.61	$119.74	$201.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $192.60 / $553.09	Professional		$113.35	$192.60	$553.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.09 / $211.51 / $349.84	Professional		$142.09	$211.51	$349.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $196.47 / $352.12	Professional		$89.81	$196.47	$352.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $148.88 / $150.52	Professional		$148.88	$148.88	$150.52
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $196.92 / $448.94	Professional		$112.56	$196.92	$448.94
United Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $148.51 / $341.41	Professional		$111.04	$148.51	$341.41
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $70.98 / $70.98 / $178.24	Facility	26	$70.98	$70.98	$178.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $222.63 / $421.95	Professional		$89.81	$222.63	$421.95