Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.50 / $58.36 / $78.90	Facility	26	$39.50	$58.36	$78.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $82.87 / $143.47	Professional		$58.04	$82.87	$143.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $46.47 / $97.45	Professional	26	$38.17	$46.47	$97.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $70.83 / $159.19	Professional		$57.03	$70.83	$159.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.92 / $47.09 / $97.48	Professional	26	$37.92	$47.09	$97.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $60.71 / $106.92	Professional		$46.21	$60.71	$106.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Facility	26	$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $105.78 / $270.00	Professional		$72.19	$105.78	$270.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $64.39 / $156.47	Professional	26	$41.43	$64.39	$156.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $103.64 / $163.91	Professional		$84.93	$103.64	$163.91
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.00 / $59.01 / $85.56	Professional	26	$45.00	$59.01	$85.56
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.64 / $38.64 / $38.64	Facility	26	$38.64	$38.64	$38.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $70.50 / $140.74	Professional		$20.09	$70.50	$140.74
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.53 / $48.25 / $82.76	Professional	26	$33.53	$48.25	$82.76
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Facility	26	$46.61	$46.61	$46.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $103.83 / $342.29	Professional		$72.86	$103.83	$342.29
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $43.30 / $60.17 / $133.94	Professional	26	$43.30	$60.17	$133.94
United Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $85.96 / $169.58	Professional		$64.04	$85.96	$169.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $50.36 / $103.76	Professional	26	$39.09	$50.36	$103.76
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $56.77 / $56.77 / $133.36	Facility	26	$56.77	$56.77	$133.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $104.40 / $192.79	Professional		$61.67	$104.40	$192.79
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $36.44 / $56.77 / $114.81	Professional	26	$36.44	$56.77	$114.81