Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.64 / $46.76 / $110.34	Facility	26	$27.64	$46.76	$110.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $96.78 / $357.00	Professional		$72.70	$96.78	$357.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $82.55 / $97.64	Professional		$82.55	$82.55	$97.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $91.21 / $222.89	Professional		$69.77	$91.21	$222.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $80.59 / $129.22	Professional		$48.64	$80.59	$129.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $138.78 / $281.60	Professional		$74.45	$138.78	$281.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $118.44 / $179.70	Professional		$89.75	$118.44	$179.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $104.97 / $188.13	Professional		$72.52	$104.97	$188.13
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $102.69 / $103.82	Professional		$102.69	$102.69	$103.82
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $128.63 / $281.60	Professional		$86.57	$128.63	$281.60
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $94.49 / $200.74	Professional		$71.55	$94.49	$200.74
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $39.10 / $39.10 / $112.79	Facility	26	$39.10	$39.10	$112.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $119.29 / $235.74	Professional		$81.68	$119.29	$235.74