Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.52 / $30.52 / $30.52	Facility	26	$30.52	$30.52	$30.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $114.69 / $274.52	Professional		$70.73	$114.69	$274.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $34.11 / $107.90	Professional	26	$22.30	$34.11	$107.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $135.02 / $340.69	Professional		$53.57	$135.02	$340.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $40.50 / $93.98	Professional	26	$16.27	$40.50	$93.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $98.66 / $193.64	Professional		$54.63	$98.66	$193.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.00 / $59.00 / $59.00	Facility	26	$59.00	$59.00	$59.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $139.61 / $361.83	Professional		$61.93	$139.61	$361.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $44.77 / $94.04	Professional	26	$19.22	$44.77	$94.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $155.10 / $282.27	Professional		$119.60	$155.10	$282.27
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.56 / $32.83 / $66.44	Professional	26	$22.56	$32.83	$66.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $148.57 / $288.57	Professional		$135.27	$148.57	$288.57
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.85 / $34.47 / $65.81	Professional	26	$30.85	$34.47	$65.81
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $59.00 / $59.00 / $59.00	Facility	26	$59.00	$59.00	$59.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $155.16 / $338.70	Professional		$55.00	$155.16	$338.70
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $19.45 / $39.20 / $81.73	Professional	26	$19.45	$39.20	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $98.65 / $202.06	Professional		$73.98	$98.65	$202.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $25.37 / $67.87	Professional	26	$17.61	$25.37	$67.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $160.25 / $448.04	Professional		$141.13	$160.25	$448.04
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $37.72 / $108.72	Professional	26	$33.22	$37.72	$108.72