Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.68 / $71.11 / $150.66	Facility	26	$49.68	$71.11	$150.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $355.59 / $694.69	Professional		$309.11	$355.59	$694.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $57.91 / $149.55	Professional	26	$49.69	$57.91	$149.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $283.27 / $283.27	Professional		$283.27	$283.27	$283.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $311.52 / $658.91	Professional		$245.29	$311.52	$658.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $56.11 / $107.91	Professional	26	$45.18	$56.11	$107.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $403.99 / $485.17	Professional		$81.18	$403.99	$485.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.12 / $498.90 / $1,240.24	Professional		$268.12	$498.90	$1,240.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $84.27 / $187.62	Professional	26	$41.69	$84.27	$187.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.10 / $489.93 / $705.09	Professional		$371.10	$489.93	$705.09
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $76.06 / $113.84	Professional	26	$57.50	$76.06	$113.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.48 / $348.65 / $796.51	Professional		$283.48	$348.65	$796.51
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.20 / $56.96 / $129.51	Professional	26	$45.20	$56.96	$129.51
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $339.08 / $339.08	Professional		$339.08	$339.08	$339.08
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $52.46 / $52.46	Professional	26	$52.46	$52.46	$52.46
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.72 / $63.72 / $116.02	Professional	26	$63.72	$63.72	$116.02
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $484.67 / $1,104.24	Professional		$250.16	$484.67	$1,104.24
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $43.97 / $81.08 / $184.30	Professional	26	$43.97	$81.08	$184.30
United Facility/Professional Professional Modifier Low / Median / High Price $284.98 / $398.07 / $927.09	Professional		$284.98	$398.07	$927.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $66.31 / $166.09	Professional	26	$49.08	$66.31	$166.09
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $65.92 / $65.92 / $206.97	Facility	26	$65.92	$65.92	$206.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $410.18 / $886.27	Professional		$288.04	$410.18	$886.27
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $45.20 / $67.01 / $144.10	Professional	26	$45.20	$67.01	$144.10