Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $75.86 / $125.89	Facility	26	$46.77	$75.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $645.65	Professional		$194.98	$257.04	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $141.25	Professional	26	$41.69	$56.23	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $489.78	Professional		$177.83	$218.78	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $52.48 / $109.65	Professional	26	$42.66	$52.48	$109.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $275.42 / $354.81	Professional		$75.86	$275.42	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $977.24	Professional		$186.21	$354.81	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $79.43 / $199.53	Professional	26	$39.81	$79.43	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $691.83	Professional		$354.81	$524.81	$691.83
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $107.15	Professional	26	$54.95	$81.28	$107.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $691.83	Professional		$194.98	$346.74	$691.83
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.61 / $125.89	Professional	26	$43.65	$67.61	$125.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $741.31	Professional		$275.42	$323.59	$741.31
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $74.13 / $141.25	Professional	26	$61.66	$74.13	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $549.54	Professional		$165.96	$245.47	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $120.23	Professional	26	$34.67	$56.23	$120.23
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $58.88 / $72.44	Facility	26	$30.20	$58.88	$72.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $588.84	Professional		$194.98	$309.03	$588.84
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $125.89	Professional	26	$43.65	$58.88	$125.89