Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.41 / $82.80 / $149.25	Facility	26	$57.41	$82.80	$149.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $123.78 / $316.42	Professional		$103.65	$123.78	$316.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $69.20 / $153.10	Professional	26	$57.41	$69.20	$153.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $118.21 / $139.26	Professional		$103.08	$118.21	$139.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.19 / $63.19 / $70.47	Professional	26	$63.19	$63.19	$70.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $106.85 / $228.79	Professional		$84.89	$106.85	$228.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $59.68 / $125.82	Professional	26	$47.07	$59.68	$125.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $94.93 / $169.79	Professional		$74.86	$94.93	$169.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $173.10 / $411.40	Professional		$88.22	$173.10	$411.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $99.04 / $224.58	Professional	26	$48.65	$99.04	$224.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $151.01 / $223.53	Professional		$115.90	$151.01	$223.53
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.83 / $88.49 / $132.44	Professional	26	$66.83	$88.49	$132.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $110.74 / $256.77	Professional		$91.39	$110.74	$256.77
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.74 / $66.26 / $150.57	Professional	26	$52.74	$66.26	$150.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $134.53 / $267.98	Professional		$120.27	$134.53	$267.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.52 / $74.81 / $100.77	Professional	26	$73.52	$74.81	$100.77
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $159.38 / $375.56	Professional		$92.55	$159.38	$375.56
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $52.47 / $95.57 / $214.99	Professional	26	$52.47	$95.57	$214.99
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $137.71 / $358.50	Professional		$104.20	$137.71	$358.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.60 / $77.51 / $200.75	Professional	26	$58.60	$77.51	$200.75
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $76.64 / $76.64 / $141.77	Facility	26	$76.64	$76.64	$141.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $131.60 / $285.70	Professional		$93.63	$131.60	$285.70
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $53.59 / $77.95 / $167.54	Professional	26	$53.59	$77.95	$167.54