Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $31.62 / $51.29	Facility	26	$25.12	$31.62	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $128.82	Professional		$61.66	$75.86	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $40.74	Professional	26	$19.95	$22.91	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $128.82	Professional		$58.88	$69.18	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.89 / $39.81	Professional	26	$17.38	$20.89	$39.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $102.33	Professional		$33.11	$69.18	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $24.55 / $34.67	Facility	26	$5.25	$24.55	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $234.42	Professional		$72.44	$104.71	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.11 / $72.44	Professional	26	$22.91	$33.11	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $138.04	Professional		$75.86	$95.50	$138.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.90 / $45.71	Professional	26	$23.44	$30.90	$45.71
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $138.04	Professional		$44.67	$74.13	$138.04
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $45.71	Professional	26	$19.50	$26.92	$45.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $169.82	Professional		$85.11	$104.71	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $169.82	Professional		$60.26	$83.18	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $51.29	Professional	26	$18.20	$25.12	$51.29
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $26.92 / $30.90	Facility	26	$17.38	$26.92	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $138.04	Professional		$52.48	$79.43	$138.04
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.92 / $51.29	Professional	26	$17.38	$26.92	$51.29