Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $44.67 / $75.86	Facility	26	$34.67	$44.67	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $169.82	Professional		$79.43	$95.50	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.88 / $83.18	Professional	26	$28.18	$33.88	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $165.96	Professional		$74.13	$87.10	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.90 / $57.54	Professional	26	$26.30	$30.90	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $131.83	Professional		$47.86	$85.11	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $35.48 / $51.29	Facility	26	$7.59	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $302.00	Professional		$93.33	$134.90	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $46.77 / $102.33	Professional	26	$32.36	$46.77	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $194.98	Professional		$107.15	$131.83	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $67.61	Professional	26	$34.67	$44.67	$67.61
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $186.21	Professional		$61.66	$109.65	$186.21
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $39.81 / $67.61	Professional	26	$23.99	$39.81	$67.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $234.42	Professional		$104.71	$125.89	$234.42
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $83.18	Professional	26	$38.02	$46.77	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $204.17	Professional		$77.62	$102.33	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $36.31 / $72.44	Professional	26	$26.30	$36.31	$72.44
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $36.31 / $42.66	Facility	26	$25.70	$36.31	$42.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $186.21	Professional		$69.18	$109.65	$186.21
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $67.61	Professional	26	$23.99	$38.90	$67.61