Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.01 / $42.41 / $79.22	Facility	26	$28.01	$42.41	$79.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $135.82 / $493.37	Professional		$92.58	$135.82	$493.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $74.06 / $108.71	Professional		$74.06	$74.06	$108.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $127.08 / $304.45	Professional		$100.23	$127.08	$304.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $120.22 / $170.61	Professional		$50.39	$120.22	$170.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $172.09 / $371.08	Professional		$98.59	$172.09	$371.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $147.27 / $234.31	Professional		$106.57	$147.27	$234.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $136.88 / $245.32	Professional		$85.04	$136.88	$245.32
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $114.54 / $124.00	Professional		$95.91	$114.54	$124.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $133.13 / $449.50	Professional		$130.35	$133.13	$449.50
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $168.06 / $364.41	Professional		$106.36	$168.06	$364.41
United Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $121.44 / $289.93	Professional		$89.09	$121.44	$289.93
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $40.29 / $40.29 / $117.15	Facility	26	$40.29	$40.29	$117.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $155.56 / $309.48	Professional		$85.04	$155.56	$309.48