Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $234.42	Professional		$56.23	$114.82	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $30.20 / $489.78	Professional	26	$16.98	$30.20	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $281.84	Professional		$38.90	$38.90	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $22.39 / $67.61	Professional	26	$11.22	$22.39	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $177.83	Professional		$38.02	$91.20	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $29.51 / $42.66	Facility	26	$6.31	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $426.58	Professional		$53.70	$138.04	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $32.36 / $89.13	Professional	26	$14.45	$32.36	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $204.17	Professional		$100.00	$109.65	$204.17
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $151.36	Professional	26	$19.05	$26.92	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $234.42	Professional		$70.79	$147.91	$234.42
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $45.71	Professional	26	$21.88	$36.31	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $50.12 / $177.83	Professional	26	$27.54	$50.12	$177.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $151.36	Professional		$109.65	$138.04	$151.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $25.70 / $30.90	Professional	26	$25.70	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $190.55	Professional		$60.26	$81.28	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $44.67	Professional	26	$13.18	$17.78	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $288.40	Professional		$70.79	$144.54	$288.40
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $56.23	Professional	26	$21.88	$31.62	$56.23