Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.72 / $46.89 / $85.45	Facility	26	$32.72	$46.89	$85.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $87.00 / $170.52	Professional		$71.18	$87.00	$170.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $38.04 / $63.42	Professional	26	$32.72	$38.04	$63.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Professional		$102.60	$102.60	$102.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $78.22 / $156.76	Professional		$62.99	$78.22	$156.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.34 / $37.04 / $67.27	Professional	26	$29.34	$37.04	$67.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $71.62 / $124.85	Professional		$53.23	$71.62	$124.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $118.05 / $293.95	Professional		$66.01	$118.05	$293.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.47 / $55.92 / $127.08	Professional	26	$27.47	$55.92	$127.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $112.61 / $164.62	Professional		$86.07	$112.61	$164.62
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.78 / $49.91 / $74.69	Professional	26	$37.78	$49.91	$74.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $81.55 / $189.47	Professional		$64.42	$81.55	$189.47
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.92 / $39.40 / $83.84	Professional	26	$28.92	$39.40	$83.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $93.23 / $93.23	Professional		$93.23	$93.23	$93.23
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $43.20 / $43.20 / $43.20	Professional	26	$43.20	$43.20	$43.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $42.16 / $76.45	Professional	26	$42.16	$42.16	$76.45
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $41.36 / $41.36 / $41.36	Facility	26	$41.36	$41.36	$41.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $117.16 / $264.11	Professional		$58.64	$117.16	$264.11
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $53.75 / $121.04	Professional	26	$29.10	$53.75	$121.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $100.39 / $247.79	Professional		$73.63	$100.39	$247.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.42 / $42.60 / $109.23	Professional	26	$31.42	$42.60	$109.23
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $42.68 / $42.68 / $81.18	Facility	26	$42.68	$42.68	$81.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $96.91 / $210.82	Professional		$71.38	$96.91	$210.82
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $43.97 / $93.29	Professional	26	$30.06	$43.97	$93.29