Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $324.29 / $393.92 / $750.05	Facility	26	$324.29	$393.92	$750.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.31 / $1,359.55 / $3,018.86	Professional		$1,072.31	$1,359.55	$3,018.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $324.29 / $386.20 / $930.24	Professional	26	$324.29	$386.20	$930.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.43 / $1,179.66 / $2,759.55	Professional		$902.43	$1,179.66	$2,759.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $277.23 / $362.40 / $800.97	Professional	26	$277.23	$362.40	$800.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $1,216.04 / $1,683.28	Professional		$467.25	$1,216.04	$1,683.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $373.80 / $373.80 / $373.80	Facility	26	$373.80	$373.80	$373.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.73 / $1,918.18 / $4,099.31	Professional		$1,225.73	$1,918.18	$4,099.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $366.38 / $559.03 / $1,206.10	Professional	26	$366.38	$559.03	$1,206.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.95 / $1,429.24 / $2,153.17	Professional		$1,061.95	$1,429.24	$2,153.17
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $339.38 / $452.51 / $652.89	Professional	26	$339.38	$452.51	$652.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.11 / $1,076.63 / $1,741.20	Professional		$975.11	$1,076.63	$1,741.20
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $268.44 / $312.88 / $531.49	Professional	26	$268.44	$312.88	$531.49
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $373.80 / $373.80 / $373.80	Facility	26	$373.80	$373.80	$373.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,249.88 / $1,979.66 / $3,568.24	Professional		$1,249.88	$1,979.66	$3,568.24
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $366.38 / $532.17 / $1,085.84	Professional	26	$366.38	$532.17	$1,085.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.15 / $1,457.54 / $2,986.03	Professional		$1,120.15	$1,457.54	$2,986.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $332.57 / $432.24 / $890.75	Professional	26	$332.57	$432.24	$890.75
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $445.24 / $445.24 / $1,142.76	Facility	26	$445.24	$445.24	$1,142.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $985.68 / $1,534.70 / $2,782.07	Professional		$985.68	$1,534.70	$2,782.07
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $300.87 / $468.46 / $822.22	Professional	26	$300.87	$468.46	$822.22