Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $44.67 / $97.72	Facility	26	$19.95	$44.67	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $512.86	Professional		$144.54	$208.93	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $91.20	Professional	26	$20.89	$30.20	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $501.19	Professional		$186.21	$234.42	$501.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $32.36 / $67.61	Professional	26	$24.55	$32.36	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $281.84 / $323.59	Professional		$42.66	$281.84	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $33.11 / $47.86	Facility	26	$7.08	$33.11	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $954.99	Professional		$162.18	$316.23	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $43.65 / $147.91	Professional	26	$21.38	$43.65	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $416.87	Professional		$213.80	$281.84	$416.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $61.66	Professional	26	$28.18	$38.02	$61.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $204.17 / $380.19	Professional		$72.44	$204.17	$380.19
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $53.70	Professional	26	$23.99	$38.90	$53.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $346.74	Professional		$269.15	$316.23	$346.74
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $42.66 / $43.65	Professional	26	$35.48	$42.66	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $512.86	Professional		$151.36	$239.88	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $72.44	Professional	26	$25.12	$33.11	$72.44
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $30.90 / $100.00	Facility	26	$23.99	$30.90	$100.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $436.52	Professional		$120.23	$257.04	$436.52
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $93.33	Professional	26	$23.99	$38.90	$93.33