Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $120.23 / $295.12	Facility	26	$63.10	$120.23	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $870.96	Professional		$204.17	$363.08	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $398.11	Professional		$275.42	$288.40	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $537.03	Professional		$234.42	$275.42	$537.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $389.05	Professional		$114.82	$275.42	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $128.82	Facility	26	$19.05	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $851.14	Professional		$199.53	$354.81	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $524.81	Professional		$251.19	$338.84	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $602.56	Professional		$147.91	$331.13	$602.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $549.54	Professional		$537.03	$537.03	$549.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $588.84	Professional		$316.23	$380.19	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $588.84	Professional		$165.96	$257.04	$588.84
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $93.33 / $263.03	Facility	26	$64.57	$93.33	$263.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $645.65	Professional		$147.91	$309.03	$645.65