Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $196.76 / $281.39 / $716.80	Facility	26	$196.76	$281.39	$716.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.25 / $652.36 / $1,200.97	Professional		$546.25	$652.36	$1,200.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.37 / $220.37 / $387.61	Professional	26	$174.37	$220.37	$387.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $620.34 / $1,550.85	Professional		$474.56	$620.34	$1,550.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.69 / $198.71 / $498.06	Professional	26	$154.69	$198.71	$498.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $567.25 / $849.39	Professional		$282.14	$567.25	$849.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.78 / $872.96 / $1,963.90	Professional		$545.78	$872.96	$1,963.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.26 / $271.89 / $624.58	Professional	26	$171.26	$271.89	$624.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $578.94 / $771.27 / $1,250.04	Professional		$578.94	$771.27	$1,250.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $190.52 / $264.08 / $419.89	Professional	26	$190.52	$264.08	$419.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $636.99 / $1,125.22	Professional		$183.50	$636.99	$1,125.22
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $164.00 / $205.13 / $388.40	Professional	26	$164.00	$205.13	$388.40
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $367.50 / $367.50 / $386.94	Professional	26	$367.50	$367.50	$386.94
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $545.78 / $875.76 / $1,925.85	Professional		$545.78	$875.76	$1,925.85
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $194.09 / $274.73 / $583.30	Professional	26	$194.09	$274.73	$583.30
United Facility/Professional Professional Modifier Low / Median / High Price $525.53 / $682.11 / $1,479.61	Professional		$525.53	$682.11	$1,479.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $163.32 / $221.92 / $485.49	Professional	26	$163.32	$221.92	$485.49
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $214.16 / $214.16 / $293.13	Facility	26	$214.16	$214.16	$293.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $520.58 / $785.90 / $1,528.54	Professional		$520.58	$785.90	$1,528.54
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $175.40 / $262.11 / $509.80	Professional	26	$175.40	$262.11	$509.80