Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.64 / $24.46 / $34.61	Facility	26	$18.64	$24.46	$34.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $77.95 / $199.36	Professional		$56.50	$77.95	$199.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $20.50 / $46.87	Professional	26	$17.26	$20.50	$46.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $72.90 / $157.62	Professional		$57.70	$72.90	$157.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $19.92 / $42.50	Professional	26	$15.71	$19.92	$42.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $88.81 / $116.75	Professional		$27.95	$88.81	$116.75
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 $52.38 / $99.98 / $232.75	Professional		$52.38	$99.98	$232.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $27.11 / $60.48	Professional	26	$14.61	$27.11	$60.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $110.59 / $162.13	Professional		$84.01	$110.59	$162.13
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 $61.69 / $77.94 / $160.04	Professional		$61.69	$77.94	$160.04
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $20.65 / $40.93	Professional	26	$16.02	$20.65	$40.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26
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 $51.33 / $102.62 / $214.78	Professional		$51.33	$102.62	$214.78
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $26.70 / $56.83	Professional	26	$17.10	$26.70	$56.83
United Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $86.08 / $186.13	Professional		$60.10	$86.08	$186.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $22.35 / $48.26	Professional	26	$16.35	$22.35	$48.26
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $22.56 / $22.56 / $72.80	Facility	26	$22.56	$22.56	$72.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $88.23 / $192.88	Professional		$68.06	$88.23	$192.88
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $23.04 / $49.33	Professional	26	$18.04	$23.04	$49.33