Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.39 / $50.07 / $67.94	Facility	26	$34.39	$50.07	$67.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $70.06 / $131.43	Professional		$52.50	$70.06	$131.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $41.42 / $69.17	Professional	26	$32.63	$41.42	$69.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $64.31 / $145.71	Professional		$51.79	$64.31	$145.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $40.96 / $83.68	Professional	26	$32.97	$40.96	$83.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $52.07 / $97.81	Professional		$45.73	$52.07	$97.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.09 / $40.09 / $40.09	Facility	26	$40.09	$40.09	$40.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $97.31 / $247.80	Professional		$66.47	$97.31	$247.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $56.19 / $134.30	Professional	26	$36.31	$56.19	$134.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $95.40 / $150.93	Professional		$78.20	$95.40	$150.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $50.63 / $73.31	Professional	26	$38.79	$50.63	$73.31
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.31 / $33.31 / $33.31	Facility	26	$33.31	$33.31	$33.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $64.86 / $129.49	Professional		$18.35	$64.86	$129.49
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $41.55 / $71.25	Professional	26	$28.87	$41.55	$71.25
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $40.09 / $40.09 / $40.09	Facility	26	$40.09	$40.09	$40.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $90.75 / $198.95	Professional		$62.96	$90.75	$198.95
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $37.24 / $52.51 / $113.41	Professional	26	$37.24	$52.51	$113.41
United Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $78.69 / $155.55	Professional		$58.71	$78.69	$155.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $44.19 / $87.11	Professional	26	$33.00	$44.19	$87.11
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $48.88 / $48.88 / $116.32	Facility	26	$48.88	$48.88	$116.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $96.05 / $177.37	Professional		$56.73	$96.05	$177.37
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $48.88 / $98.48	Professional	26	$31.83	$48.88	$98.48