Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.13 / $81.77 / $146.62	Facility	26	$50.13	$81.77	$146.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.04 / $354.32 / $1,178.31	Professional		$246.04	$354.32	$1,178.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.22 / $67.14 / $142.12	Professional	26	$43.22	$67.14	$142.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $377.01 / $812.93	Professional		$297.33	$377.01	$812.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $70.20 / $143.26	Professional	26	$53.71	$70.20	$143.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $423.95 / $518.28	Professional		$94.34	$423.95	$518.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $469.24 / $1,549.73	Professional		$268.60	$469.24	$1,549.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.23 / $85.87 / $194.80	Professional	26	$46.23	$85.87	$194.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $301.93 / $406.59 / $674.85	Professional		$301.93	$406.59	$674.85
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $79.45 / $134.00	Professional	26	$57.35	$79.45	$134.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $306.75 / $533.44	Professional		$105.04	$306.75	$533.44
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.75 / $65.73 / $113.54	Professional	26	$37.75	$65.73	$113.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $77.02 / $137.21	Professional	26	$68.84	$77.02	$137.21
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $508.91 / $1,221.15	Professional		$293.35	$508.91	$1,221.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $49.01 / $87.73 / $191.40	Professional	26	$49.01	$87.73	$191.40
United Facility/Professional Professional Modifier Low / Median / High Price $287.91 / $401.81 / $870.81	Professional		$287.91	$401.81	$870.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $73.29 / $159.44	Professional	26	$55.72	$73.29	$159.44
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $227.35	Facility	26	$69.50	$69.50	$227.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $449.58 / $849.58	Professional		$248.27	$449.58	$849.58
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $37.75 / $87.55 / $188.06	Professional	26	$37.75	$87.55	$188.06