Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $142.88 / $228.91	Facility	26	$125.00	$142.88	$228.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.96 / $125.00 / $291.50	Professional	26	$107.96	$125.00	$291.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.26 / $112.76 / $239.67	Professional	26	$86.26	$112.76	$239.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.69 / $115.69 / $115.69	Facility	26	$115.69	$115.69	$115.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $137.50 / $309.60	Professional	26	$75.84	$137.50	$309.60
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.68 / $124.73 / $209.70	Professional	26	$88.68	$124.73	$209.70
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.68 / $108.21 / $178.43	Professional	26	$88.68	$108.21	$178.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $207.88 / $207.88 / $213.74	Professional	26	$207.88	$207.88	$213.74
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $115.69 / $115.69 / $115.69	Facility	26	$115.69	$115.69	$115.69
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $142.16 / $309.60	Professional	26	$75.86	$142.16	$309.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.59 / $110.95 / $230.52	Professional	26	$81.59	$110.95	$230.52
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $108.19 / $108.19 / $349.14	Facility	26	$108.19	$108.19	$349.14
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $95.32 / $115.34 / $257.52	Professional	26	$95.32	$115.34	$257.52