Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $60.26 / $97.72	Facility	26	$42.66	$60.26	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $190.55	Professional		$61.66	$89.13	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $123.03	Professional	26	$38.02	$50.12	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $154.88	Professional		$57.54	$70.79	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $91.20	Professional	26	$38.02	$45.71	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $107.15	Professional		$45.71	$60.26	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $323.59	Professional		$72.44	$109.65	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $186.21	Professional	26	$41.69	$66.07	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $169.82	Professional		$85.11	$112.20	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $87.10	Professional	26	$45.71	$60.26	$87.10
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $158.49	Professional		$52.48	$95.50	$158.49
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $56.23 / $87.10	Professional	26	$33.11	$56.23	$87.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $199.53	Professional		$83.18	$100.00	$199.53
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $107.15	Professional	26	$50.12	$60.26	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $173.78	Professional		$64.57	$87.10	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $102.33	Professional	26	$38.90	$51.29	$102.33
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $56.23 / $117.49	Facility	26	$33.88	$56.23	$117.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $190.55	Professional		$52.48	$95.50	$190.55
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $104.71	Professional	26	$33.88	$56.23	$104.71