Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $112.20 / $302.00	Facility	26	$97.72	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,047.13	Professional		$371.54	$501.19	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $204.17	Professional	26	$70.79	$112.20	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $1,071.52	Professional		$316.23	$407.38	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $74.13 / $173.78	Professional	26	$58.88	$74.13	$173.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $549.54 / $645.65	Professional		$100.00	$549.54	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $81.28 / $114.82	Facility	26	$17.38	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $1,862.09	Professional		$323.59	$707.95	$1,862.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $117.49 / $263.03	Professional	26	$53.70	$117.49	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $831.76	Professional		$457.09	$575.44	$831.76
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $134.90	Professional	26	$70.79	$93.33	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $977.24	Professional		$346.74	$676.08	$977.24
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $114.82 / $177.83	Professional	26	$57.54	$114.82	$177.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,122.02	Professional		$524.81	$616.60	$1,122.02
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $186.21	Professional	26	$83.18	$100.00	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $1,047.13	Professional		$354.81	$467.74	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $165.96	Professional	26	$54.95	$70.79	$165.96
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $75.86 / $213.80	Facility	26	$57.54	$75.86	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,071.52	Professional		$346.74	$602.56	$1,071.52
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $181.97	Professional	26	$57.54	$112.20	$181.97