Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.74 / $57.11 / $80.40	Facility	26	$42.74	$57.11	$80.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $66.59 / $93.07	Professional		$53.68	$66.59	$93.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $46.90 / $64.56	Professional	26	$38.45	$46.90	$64.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $60.42 / $120.16	Professional		$48.55	$60.42	$120.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.56 / $41.68 / $83.95	Professional	26	$33.56	$41.68	$83.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $64.09 / $90.26	Professional		$26.16	$64.09	$90.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $95.78 / $208.30	Professional		$63.79	$95.78	$208.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $66.39 / $143.06	Professional	26	$43.32	$66.39	$143.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $90.67 / $132.04	Professional		$74.17	$90.67	$132.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $64.09 / $91.55	Professional	26	$49.85	$64.09	$91.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $85.18 / $153.57	Professional		$52.96	$85.18	$153.57
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.64 / $59.07 / $106.25	Professional	26	$36.64	$59.07	$106.25
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $92.28 / $188.08	Professional		$56.78	$92.28	$188.08
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $63.99 / $138.47	Professional	26	$45.18	$63.99	$138.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $73.78 / $172.69	Professional		$55.22	$73.78	$172.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $51.19 / $131.78	Professional	26	$36.95	$51.19	$131.78
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $48.07 / $48.07 / $67.02	Facility	26	$48.07	$48.07	$67.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $87.92 / $164.62	Professional		$59.06	$87.92	$164.62
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $40.86 / $60.97 / $113.89	Professional	26	$40.86	$60.97	$113.89