Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $114.57 / $239.94	Professional		$84.98	$114.57	$239.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $45.49 / $104.33	Professional	26	$35.15	$45.49	$104.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $142.13 / $409.16	Professional		$72.98	$142.13	$409.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.82 / $55.84 / $162.44	Professional	26	$29.82	$55.84	$162.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $94.75 / $185.98	Professional		$54.87	$94.75	$185.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $58.86 / $58.86	Facility	26	$58.86	$58.86	$58.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $162.12 / $389.87	Professional		$75.31	$162.12	$389.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $63.98 / $155.66	Professional	26	$31.50	$63.98	$155.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $121.04 / $242.84	Professional		$93.30	$121.04	$242.84
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $45.87 / $93.12	Professional	26	$31.53	$45.87	$93.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $169.49 / $263.45	Professional		$117.56	$169.49	$263.45
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.01 / $70.76 / $109.99	Professional	26	$49.01	$70.76	$109.99
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $58.86 / $58.86	Facility	26	$58.86	$58.86	$58.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $132.96 / $389.87	Professional		$78.45	$132.96	$389.87
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $54.28 / $145.40	Professional	26	$30.07	$54.28	$145.40
United Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $95.74 / $209.36	Professional		$64.84	$95.74	$209.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.63 / $38.61 / $96.97	Professional	26	$28.63	$38.61	$96.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $169.49 / $331.85	Professional		$117.56	$169.49	$331.85
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $49.01 / $70.76 / $142.66	Professional	26	$49.01	$70.76	$142.66