Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.11 / $24.60 / $34.61	Facility	26	$17.11	$24.60	$34.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $79.79 / $167.12	Professional		$57.63	$79.79	$167.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.11 / $21.56 / $47.75	Professional	26	$17.11	$21.56	$47.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $71.51 / $147.91	Professional		$56.61	$71.51	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $19.91 / $39.79	Professional	26	$15.70	$19.91	$39.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $83.55 / $111.98	Professional		$28.42	$83.55	$111.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $98.65 / $231.17	Professional		$51.72	$98.65	$231.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $27.62 / $60.06	Professional	26	$14.61	$27.62	$60.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $102.45 / $150.15	Professional		$77.80	$102.45	$150.15
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $27.77 / $40.03	Professional	26	$21.47	$27.77	$40.03
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $18.04 / $18.04	Facility	26	$18.04	$18.04	$18.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $71.04 / $148.19	Professional		$60.00	$71.04	$148.19
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $19.95 / $40.93	Professional	26	$16.57	$19.95	$40.93
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $100.18 / $209.25	Professional		$49.71	$100.18	$209.25
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $26.77 / $57.57	Professional	26	$17.10	$26.77	$57.57
United Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $84.58 / $181.04	Professional		$55.66	$84.58	$181.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $22.18 / $45.21	Professional	26	$16.46	$22.18	$45.21
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $22.56 / $22.56 / $71.63	Facility	26	$22.56	$22.56	$71.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $81.70 / $178.61	Professional		$63.16	$81.70	$178.61
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $23.04 / $49.43	Professional	26	$18.04	$23.04	$49.43