Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.44 / $4.67 / $6.57	Facility	26	$3.44	$4.67	$6.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $52.99 / $89.52	Professional		$40.51	$52.99	$89.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $46.85 / $46.85	Professional		$46.85	$46.85	$46.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $50.90 / $97.15	Professional		$43.26	$50.90	$97.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $55.76 / $61.07	Professional		$5.31	$55.76	$61.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $78.78 / $163.86	Professional		$51.10	$78.78	$163.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $67.39 / $108.93	Professional		$51.81	$67.39	$108.93
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $3.42 / $3.42 / $3.42	Facility	26	$3.42	$3.42	$3.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $50.67 / $96.70	Professional		$39.18	$50.67	$96.70
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $47.54 / $47.89	Professional		$47.54	$47.54	$47.89
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $69.59 / $151.66	Professional		$50.22	$69.59	$151.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $58.86 / $117.56	Professional		$41.34	$58.86	$117.56
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $3.42 / $4.54 / $12.87	Facility	26	$3.42	$4.54	$12.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $59.92 / $122.49	Professional		$44.49	$59.92	$122.49