Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $33.11 / $67.61	Facility	26	$22.91	$33.11	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $309.03	Professional		$117.49	$141.25	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.12 / $56.23	Professional	26	$20.89	$25.12	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $281.84	Professional		$109.65	$128.82	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $23.99 / $47.86	Professional	26	$20.42	$23.99	$47.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $147.91 / $181.97	Professional		$33.11	$147.91	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $512.86	Professional		$138.04	$223.87	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $35.48 / $83.18	Professional	26	$21.88	$35.48	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $269.15	Professional		$138.04	$186.21	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $47.86	Professional	26	$23.99	$32.36	$47.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $302.00	Professional		$104.71	$158.49	$302.00
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.20 / $50.12	Professional	26	$19.05	$30.20	$50.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $338.84	Professional		$181.97	$213.80	$338.84
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $34.67 / $53.70	Professional	26	$29.51	$34.67	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $371.54	Professional		$128.82	$169.82	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $60.26	Professional	26	$20.42	$26.92	$60.26
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $26.92 / $34.67	Facility	26	$18.62	$26.92	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $302.00	Professional		$100.00	$151.36	$302.00
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $54.95	Professional	26	$18.62	$26.92	$54.95