Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.75 / $105.63 / $174.94	Facility	26	$62.75	$105.63	$174.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $176.65 / $324.82	Professional		$130.03	$176.65	$324.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.20 / $75.36 / $137.28	Professional	26	$58.20	$75.36	$137.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $130.82 / $136.80	Professional		$130.82	$130.82	$136.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $171.96 / $404.00	Professional		$135.61	$171.96	$404.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.06 / $77.45 / $169.88	Professional	26	$61.06	$77.45	$169.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $141.22 / $250.20	Professional		$108.97	$141.22	$250.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $241.05 / $532.15	Professional		$132.19	$241.05	$532.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.17 / $105.96 / $226.79	Professional	26	$57.17	$105.96	$226.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $219.94 / $358.42	Professional		$157.10	$219.94	$358.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.89 / $98.16 / $158.16	Professional	26	$71.89	$98.16	$158.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $207.35 / $371.62	Professional		$139.97	$207.35	$371.62
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $100.64 / $162.27	Professional	26	$42.60	$100.64	$162.27
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.04 / $243.76 / $524.38	Professional		$134.04	$243.76	$524.38
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $61.61 / $105.91 / $217.61	Professional	26	$61.61	$105.91	$217.61
United Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $179.00 / $379.48	Professional		$137.99	$179.00	$379.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.44 / $80.12 / $189.69	Professional	26	$59.44	$80.12	$189.69
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $89.05 / $89.05 / $250.05	Facility	26	$89.05	$89.05	$250.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $235.65 / $460.80	Professional		$143.15	$235.65	$460.80
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $102.90 / $203.85	Professional	26	$42.60	$102.90	$203.85