Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.32 / $106.24 / $225.05	Facility	26	$55.32	$106.24	$225.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $137.41 / $332.00	Professional		$88.11	$137.41	$332.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $176.16 / $344.42	Professional		$143.36	$176.16	$344.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $121.37 / $193.26	Professional		$71.89	$121.37	$193.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.47 / $95.47 / $95.47	Facility	26	$95.47	$95.47	$95.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $202.83 / $412.91	Professional		$98.03	$202.83	$412.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $179.73 / $277.97	Professional		$129.66	$179.73	$277.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $126.35 / $234.06	Professional		$30.30	$126.35	$234.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $152.32 / $152.32	Professional		$152.32	$152.32	$152.32
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $95.47 / $95.47 / $95.47	Facility	26	$95.47	$95.47	$95.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $204.93 / $436.68	Professional		$118.16	$204.93	$436.68
United Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $164.15 / $378.08	Professional		$123.11	$164.15	$378.08
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $89.44 / $89.44 / $282.83	Facility	26	$89.44	$89.44	$282.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $180.49 / $387.70	Professional		$94.88	$180.49	$387.70