Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $10.82 / $53.07	Facility		$3.60	$10.82	$53.07
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.82 / $33.85 / $106.92	Facility	26	$10.82	$33.85	$106.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $20.50 / $83.31	Professional		$10.82	$20.50	$83.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $21.97 / $78.47	Professional	26	$10.82	$21.97	$78.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $38.04 / $83.71	Professional		$16.66	$38.04	$83.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $14.91 / $60.81	Professional	26	$7.49	$14.91	$60.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $65.19	Facility		$4.20	$4.20	$65.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $65.19 / $69.38	Professional		$4.20	$65.19	$69.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $8.69 / $18.26	Facility		$5.14	$8.69	$18.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.60 / $52.60 / $52.60	Facility	26	$52.60	$52.60	$52.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $28.75 / $332.00	Facility		$3.90	$28.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $65.69 / $100.28	Professional		$35.36	$65.69	$100.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $62.65 / $93.77	Professional	26	$32.83	$62.65	$93.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $45.41 / $86.67	Professional		$40.63	$45.41	$86.67
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $42.48 / $81.08	Professional	26	$36.72	$42.48	$81.08
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $38.72 / $38.72	Professional	26	$38.72	$38.72	$38.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $8.75 / $43.44	Facility		$5.14	$8.75	$43.44
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $52.60 / $52.60 / $52.60	Facility	26	$52.60	$52.60	$52.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $43.45 / $69.06	Professional		$16.48	$43.45	$69.06
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $43.99	Professional	26	$40.47	$40.47	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $25.90 / $63.12	Professional		$16.79	$25.90	$63.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $26.11 / $62.84	Professional	26	$16.78	$26.11	$62.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Facility		$53.63	$53.63	$53.63
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $50.17 / $50.17 / $50.17	Facility	26	$50.17	$50.17	$50.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $49.84 / $54.72	Professional		$40.63	$49.84	$54.72
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $38.01 / $44.71 / $50.17	Professional	26	$38.01	$44.71	$50.17