Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $144.03 / $301.37	Facility	26	$125.00	$144.03	$301.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.36 / $171.48 / $469.94	Professional	26	$111.36	$171.48	$469.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.66 / $145.16 / $186.42	Professional	26	$111.66	$145.16	$186.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.24 / $130.87 / $266.95	Professional	26	$102.24	$130.87	$266.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.81 / $128.81 / $128.81	Facility	26	$128.81	$128.81	$128.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.18 / $152.44 / $346.57	Professional	26	$84.18	$152.44	$346.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.41 / $139.75 / $234.59	Professional	26	$98.41	$139.75	$234.59
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.41 / $120.46 / $198.71	Professional	26	$98.41	$120.46	$198.71
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $87.83 / $103.33 / $135.19	Professional	26	$87.83	$103.33	$135.19
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.81 / $135.58 / $239.43	Professional	26	$118.81	$135.58	$239.43
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $128.81 / $128.81 / $128.81	Facility	26	$128.81	$128.81	$128.81
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $84.18 / $157.60 / $346.57	Professional	26	$84.18	$157.60	$346.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.64 / $122.32 / $282.64	Professional	26	$90.64	$122.32	$282.64
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $120.48 / $120.48 / $385.51	Facility	26	$120.48	$120.48	$385.51
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $106.63 / $129.02 / $286.80	Professional	26	$106.63	$129.02	$286.80