Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.02 / $28.91 / $41.18	Facility	26	$21.02	$28.91	$41.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $51.44 / $95.48	Professional		$31.48	$51.44	$95.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $24.04 / $45.14	Professional	26	$19.55	$24.04	$45.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $37.34 / $102.23	Professional		$29.57	$37.34	$102.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $22.44 / $47.96	Professional	26	$18.07	$22.44	$47.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $41.91 / $74.23	Professional		$32.32	$41.91	$74.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.30 / $24.30 / $24.30	Facility	26	$24.30	$24.30	$24.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $64.48 / $185.61	Professional		$40.40	$64.48	$185.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $33.54 / $76.86	Professional	26	$22.01	$33.54	$76.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $71.09 / $112.46	Professional		$56.17	$71.09	$112.46
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.66 / $30.27 / $44.60	Professional	26	$23.66	$30.27	$44.60
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.32 / $20.32 / $20.32	Facility	26	$20.32	$20.32	$20.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $65.11 / $104.68	Professional		$32.96	$65.11	$104.68
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $27.63 / $43.20	Professional	26	$17.50	$27.63	$43.20
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $24.30 / $24.30 / $24.30	Facility	26	$24.30	$24.30	$24.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $63.72 / $145.68	Professional		$38.31	$63.72	$145.68
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $31.39 / $69.73	Professional	26	$22.31	$31.39	$69.73
United Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $52.95 / $115.23	Professional		$36.81	$52.95	$115.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.00 / $25.76 / $55.02	Professional	26	$19.00	$25.76	$55.02
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $29.63 / $29.63 / $74.18	Facility	26	$29.63	$29.63	$74.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $71.81 / $132.60	Professional		$42.41	$71.81	$132.60
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $29.63 / $54.72	Professional	26	$19.39	$29.63	$54.72