Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.58 / $40.39 / $56.88	Facility	26	$28.58	$40.39	$56.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $95.90 / $145.43	Professional		$81.11	$95.90	$145.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $33.21 / $48.46	Professional	26	$28.58	$33.21	$48.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.01 / $76.01	Professional		$76.01	$76.01	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $90.86 / $170.60	Professional		$73.94	$90.86	$170.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.01 / $31.96 / $59.81	Professional	26	$26.01	$31.96	$59.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $84.31 / $131.79	Professional		$47.48	$84.31	$131.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $138.60 / $292.70	Professional		$94.29	$138.60	$292.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $46.53 / $97.89	Professional	26	$32.29	$46.53	$97.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $123.15 / $186.46	Professional		$94.73	$123.15	$186.46
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $41.56 / $64.30	Professional	26	$31.97	$41.56	$64.30
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.63 / $29.63 / $29.63	Facility	26	$29.63	$29.63	$29.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $93.10 / $178.83	Professional		$68.67	$93.10	$178.83
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $34.07 / $67.23	Professional	26	$23.97	$34.07	$67.23
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $125.54 / $265.13	Professional		$90.64	$125.54	$265.13
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $44.86 / $90.48	Professional	26	$34.02	$44.86	$90.48
United Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $104.86 / $217.84	Professional		$79.34	$104.86	$217.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $37.20 / $75.11	Professional	26	$27.43	$37.20	$75.11
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $29.63 / $39.34 / $43.27	Facility	26	$29.63	$39.34	$43.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $110.82 / $225.24	Professional		$72.45	$110.82	$225.24
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $39.64 / $80.58	Professional	26	$25.92	$39.64	$80.58