Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.31 / $111.15 / $245.84	Facility	26	$76.31	$111.15	$245.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $785.46	Professional		$370.50	$475.00	$785.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.35 / $118.97 / $176.40	Professional	26	$93.35	$118.97	$176.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $408.89 / $1,056.77	Professional		$317.29	$408.89	$1,056.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $77.27 / $166.24	Professional	26	$59.11	$77.27	$166.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $546.96 / $647.70	Professional		$100.74	$546.96	$647.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.68 / $80.68 / $80.68	Facility	26	$80.68	$80.68	$80.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $717.19 / $1,536.97	Professional		$322.39	$717.19	$1,536.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.53 / $116.59 / $236.93	Professional	26	$48.53	$116.59	$236.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $421.45 / $539.23 / $846.34	Professional		$421.45	$539.23	$846.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.50 / $88.10 / $146.50	Professional	26	$68.50	$88.10	$146.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $505.00 / $785.81	Professional		$241.70	$505.00	$785.81
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $77.95 / $132.18	Professional	26	$33.97	$77.95	$132.18
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $80.68 / $80.68 / $80.68	Facility	26	$80.68	$80.68	$80.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $412.36 / $681.89 / $1,467.76	Professional		$412.36	$681.89	$1,467.76
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $55.56 / $108.84 / $212.96	Professional	26	$55.56	$108.84	$212.96
United Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $477.56 / $1,025.11	Professional		$358.06	$477.56	$1,025.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.08 / $78.64 / $168.49	Professional	26	$60.08	$78.64	$168.49
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $75.63 / $75.63 / $212.86	Facility	26	$75.63	$75.63	$212.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $526.55 / $893.16	Professional		$241.70	$526.55	$893.16
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $88.57 / $150.24	Professional	26	$33.97	$88.57	$150.24