Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.60 / $62.26 / $165.82	Facility	26	$41.60	$62.26	$165.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $127.55 / $382.13	Professional		$95.17	$127.55	$382.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $77.47 / $138.10	Professional		$77.47	$77.47	$138.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $126.41 / $292.82	Professional		$99.69	$126.41	$292.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $91.94 / $165.04	Professional		$73.09	$91.94	$165.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $173.68 / $373.19	Professional		$98.05	$173.68	$373.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $150.11 / $243.45	Professional		$121.28	$150.11	$243.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $140.11 / $251.11	Professional		$96.80	$140.11	$251.11
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $143.86 / $157.96	Professional		$135.43	$143.86	$157.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $136.21 / $281.31	Professional		$134.13	$136.21	$281.31
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $169.97 / $361.56	Professional		$110.94	$169.97	$361.56
United Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $123.70 / $283.54	Professional		$92.58	$123.70	$283.54
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $58.55 / $58.55 / $172.89	Facility	26	$58.55	$58.55	$172.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $159.22 / $310.36	Professional		$119.58	$159.22	$310.36