Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.55 / $103.80 / $235.59	Facility	26	$72.55	$103.80	$235.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $160.31 / $376.14	Professional		$126.30	$160.31	$376.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $154.82 / $373.72	Professional		$118.43	$154.82	$373.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $104.36 / $208.22	Professional		$103.86	$104.36	$208.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $207.52 / $483.84	Professional		$132.11	$207.52	$483.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $183.32 / $307.89	Professional		$139.94	$183.32	$307.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $139.94 / $276.93	Professional		$43.75	$139.94	$276.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $167.60	Professional		$166.69	$166.69	$167.60
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $215.35 / $458.11	Professional		$132.11	$215.35	$458.11
United Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $161.76 / $360.27	Professional		$129.76	$161.76	$360.27
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $78.95 / $78.95 / $114.24	Facility	26	$78.95	$78.95	$114.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $193.42 / $376.19	Professional		$126.44	$193.42	$376.19