Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $498.34 / $701.84 / $1,475.66	Facility	26	$498.34	$701.84	$1,475.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $960.30 / $2,070.92	Professional		$740.75	$960.30	$2,070.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $427.02 / $521.64 / $1,056.18	Professional	26	$427.02	$521.64	$1,056.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $848.43 / $2,188.77	Professional		$649.04	$848.43	$2,188.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $355.57 / $464.80 / $1,244.39	Professional	26	$355.57	$464.80	$1,244.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $596.35 / $650.55 / $1,246.91	Professional		$596.35	$650.55	$1,246.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.66 / $1,234.46 / $2,803.60	Professional		$816.66	$1,234.46	$2,803.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $398.32 / $679.34 / $1,374.74	Professional	26	$398.32	$679.34	$1,374.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $841.69 / $1,088.63 / $1,918.51	Professional		$841.69	$1,088.63	$1,918.51
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $439.45 / $609.14 / $968.09	Professional	26	$439.45	$609.14	$968.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.79 / $872.05 / $1,719.29	Professional		$524.79	$872.05	$1,719.29
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $385.70 / $514.87 / $895.48	Professional	26	$385.70	$514.87	$895.48
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $897.21 / $1,273.19 / $2,803.60	Professional		$897.21	$1,273.19	$2,803.60
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $474.84 / $661.07 / $1,342.71	Professional	26	$474.84	$661.07	$1,342.71
United Facility/Professional Professional Modifier Low / Median / High Price $683.59 / $975.52 / $2,426.07	Professional		$683.59	$975.52	$2,426.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $379.67 / $511.54 / $1,077.54	Professional	26	$379.67	$511.54	$1,077.54
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $493.96 / $493.96 / $1,792.88	Facility	26	$493.96	$493.96	$1,792.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $695.22 / $1,200.81 / $2,348.89	Professional		$695.22	$1,200.81	$2,348.89
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $385.70 / $604.57 / $1,336.61	Professional	26	$385.70	$604.57	$1,336.61