Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.31 / $282.19 / $536.91	Facility	26	$235.31	$282.19	$536.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.70 / $1,102.60 / $2,463.69	Professional		$808.70	$1,102.60	$2,463.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $235.31 / $276.66 / $659.33	Professional	26	$235.31	$276.66	$659.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.27 / $882.71 / $2,232.09	Professional		$675.27	$882.71	$2,232.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $197.74 / $258.49 / $578.14	Professional	26	$197.74	$258.49	$578.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $334.47 / $1,012.74 / $1,347.22	Professional		$334.47	$1,012.74	$1,347.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $267.36 / $267.36 / $267.36	Facility	26	$267.36	$267.36	$267.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.02 / $1,467.54 / $3,213.21	Professional		$974.02	$1,467.54	$3,213.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $260.95 / $407.28 / $862.18	Professional	26	$260.95	$407.28	$862.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $861.31 / $1,152.05 / $1,735.90	Professional		$861.31	$1,152.05	$1,735.90
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $242.69 / $323.58 / $467.07	Professional	26	$242.69	$323.58	$467.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.61 / $861.31 / $1,403.52	Professional		$474.61	$861.31	$1,403.52
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.94 / $227.29 / $380.23	Professional	26	$159.94	$227.29	$380.23
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $267.36 / $267.36 / $267.36	Facility	26	$267.36	$267.36	$267.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $984.26 / $1,473.33 / $2,753.28	Professional		$984.26	$1,473.33	$2,753.28
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $261.47 / $387.53 / $775.62	Professional	26	$261.47	$387.53	$775.62
United Facility/Professional Professional Modifier Low / Median / High Price $891.57 / $1,158.77 / $2,427.36	Professional		$891.57	$1,158.77	$2,427.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $237.60 / $315.50 / $646.80	Professional	26	$237.60	$315.50	$646.80
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $318.54 / $318.54 / $830.91	Facility	26	$318.54	$318.54	$830.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $474.61 / $1,217.17 / $2,247.75	Professional		$474.61	$1,217.17	$2,247.75
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $171.04 / $318.54 / $588.24	Professional	26	$171.04	$318.54	$588.24