Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.10 / $139.80 / $328.97	Facility	26	$104.10	$139.80	$328.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $413.51 / $729.14	Professional		$305.14	$413.51	$729.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Professional		$267.04	$267.04	$267.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.56 / $452.73 / $1,005.54	Professional		$364.56	$452.73	$1,005.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $388.44 / $533.48	Professional		$145.04	$388.44	$533.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.72 / $575.61 / $1,526.93	Professional		$296.72	$575.61	$1,526.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $344.22 / $474.29 / $695.49	Professional		$344.22	$474.29	$695.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.69 / $499.82 / $715.38	Professional		$278.69	$499.82	$715.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.28 / $485.41 / $667.92	Professional		$471.28	$485.41	$667.92
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.30 / $581.28 / $1,157.93	Professional		$331.30	$581.28	$1,157.93
United Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $453.00 / $1,192.71	Professional		$318.72	$453.00	$1,192.71
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $106.52 / $106.52 / $132.74	Facility	26	$106.52	$106.52	$132.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.69 / $499.82 / $876.48	Professional		$278.69	$499.82	$876.48