Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.67 / $163.58 / $288.97	Facility	26	$72.67	$163.58	$288.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.67 / $110.90 / $265.88	Professional	26	$72.67	$110.90	$265.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.95 / $117.59 / $263.39	Professional	26	$89.95	$117.59	$263.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.81 / $153.21 / $328.43	Professional	26	$75.81	$153.21	$328.43
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.91 / $143.10 / $249.06	Professional	26	$102.91	$143.10	$249.06
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $144.07 / $189.43	Professional	26	$82.33	$144.07	$189.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $264.66 / $264.66 / $264.66	Professional	26	$264.66	$264.66	$264.66
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $87.24 / $155.91 / $328.43	Professional	26	$87.24	$155.91	$328.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.11 / $127.39 / $338.43	Professional	26	$94.11	$127.39	$338.43
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $115.96 / $115.96 / $380.15	Facility	26	$115.96	$115.96	$380.15
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $88.80 / $163.47 / $313.77	Professional	26	$88.80	$163.47	$313.77