Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $28.84 / $48.98	Facility	26	$21.38	$28.84	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $109.65	Professional		$33.11	$52.48	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $46.77	Professional	26	$18.20	$23.99	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $87.10	Professional		$28.18	$35.48	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $20.89 / $45.71	Professional	26	$16.60	$20.89	$45.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $69.18	Professional		$30.20	$39.81	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.11	Facility	26	$5.01	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $194.98	Professional		$41.69	$66.07	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $33.88 / $95.50	Professional	26	$20.42	$33.88	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $114.82	Professional		$58.88	$75.86	$114.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $43.65	Professional	26	$22.91	$30.20	$43.65
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $107.15	Professional		$28.84	$63.10	$107.15
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.84 / $43.65	Professional	26	$17.78	$28.84	$43.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $134.90	Professional		$51.29	$63.10	$134.90
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.20 / $54.95	Professional	26	$25.12	$30.20	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $112.20	Professional		$35.48	$50.12	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.99 / $52.48	Professional	26	$17.38	$23.99	$52.48
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $28.84 / $69.18	Facility	26	$16.98	$28.84	$69.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $128.82	Professional		$28.84	$63.10	$128.82
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $56.23	Professional	26	$16.98	$28.84	$56.23