Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $41.69 / $102.33	Facility	26	$21.88	$41.69	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $302.00	Professional		$58.88	$104.71	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $75.86	Professional		$54.95	$72.44	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $158.49	Professional		$61.66	$75.86	$158.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $104.71	Professional		$39.81	$64.57	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $234.42	Professional		$58.88	$107.15	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $141.25	Professional		$67.61	$91.20	$141.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $158.49	Professional		$54.95	$89.13	$158.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $147.91	Professional		$85.11	$144.54	$147.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $154.88	Professional		$85.11	$102.33	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $158.49	Professional		$52.48	$74.13	$158.49
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $32.36 / $95.50	Facility	26	$22.91	$32.36	$95.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $194.98	Professional		$57.54	$87.10	$194.98