Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.42 / $21.42 / $21.42	Facility	26	$21.42	$21.42	$21.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $115.98 / $324.91	Professional		$56.24	$115.98	$324.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $22.55 / $67.37	Professional	26	$16.92	$22.55	$67.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $104.65 / $288.89	Professional		$39.21	$104.65	$288.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $29.60 / $71.70	Professional	26	$11.23	$29.60	$71.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $91.18 / $178.98	Professional		$38.33	$91.18	$178.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.27 / $39.27 / $39.27	Facility	26	$39.27	$39.27	$39.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $116.54 / $306.52	Professional		$53.14	$116.54	$306.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $31.36 / $66.28	Professional	26	$14.44	$31.36	$66.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $132.11 / $240.48	Professional		$85.91	$132.11	$240.48
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $23.40 / $47.03	Professional	26	$16.02	$23.40	$47.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $147.72 / $287.10	Professional		$70.29	$147.72	$287.10
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $36.69 / $56.16	Professional	26	$21.65	$36.69	$56.16
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.42 / $52.80 / $176.00	Professional	26	$27.42	$52.80	$176.00
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $39.27 / $39.27 / $39.27	Facility	26	$39.27	$39.27	$39.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $131.33 / $348.62	Professional		$27.26	$131.33	$348.62
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $27.62 / $56.19	Professional	26	$14.44	$27.62	$56.19
United Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $81.38 / $205.56	Professional		$60.23	$81.38	$205.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $18.82 / $49.50	Professional	26	$13.93	$18.82	$49.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $147.72 / $346.00	Professional		$101.35	$147.72	$346.00
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $37.49 / $67.68	Professional	26	$24.75	$37.49	$67.68