Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.48 / $61.48 / $61.48	Facility	26	$61.48	$61.48	$61.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $454.64 / $1,049.30	Professional		$219.50	$454.64	$1,049.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.29 / $67.33 / $188.17	Professional	26	$47.29	$67.33	$188.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $415.69 / $1,487.11	Professional		$281.29	$415.69	$1,487.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $83.31 / $186.50	Professional	26	$31.97	$83.31	$186.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $302.91 / $594.52	Professional		$109.94	$302.91	$594.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $105.59 / $105.59	Facility	26	$105.59	$105.59	$105.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $435.85 / $1,283.60	Professional		$217.29	$435.85	$1,283.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $89.71 / $189.21	Professional	26	$40.90	$89.71	$189.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $478.82 / $958.01	Professional		$368.06	$478.82	$958.01
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.40 / $77.72 / $137.62	Professional	26	$54.40	$77.72	$137.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.66 / $653.64 / $1,016.01	Professional		$454.66	$653.64	$1,016.01
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $103.36 / $160.66	Professional	26	$61.93	$103.36	$160.66
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $78.66 / $157.49	Professional	26	$77.88	$78.66	$157.49
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $105.59 / $105.59	Facility	26	$105.59	$105.59	$105.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $477.43 / $1,368.15	Professional		$180.00	$477.43	$1,368.15
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $40.86 / $78.34 / $162.52	Professional	26	$40.86	$78.34	$162.52
United Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $298.18 / $716.28	Professional		$220.22	$298.18	$716.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $53.06 / $135.85	Professional	26	$39.27	$53.06	$135.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $454.66 / $653.64 / $1,265.74	Professional		$454.66	$653.64	$1,265.74
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $103.36 / $206.73	Professional	26	$71.34	$103.36	$206.73