Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $8.32 / $45.71	Facility		$3.80	$8.32	$45.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $36.31 / $147.91	Facility	26	$18.20	$36.31	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $38.02 / $61.66	Professional		$12.59	$38.02	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $44.67 / $93.33	Professional	26	$15.85	$44.67	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $29.51 / $89.13	Professional		$10.72	$29.51	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.41 / $60.26	Professional	26	$7.41	$7.41	$60.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $64.57	Facility		$4.17	$4.17	$64.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $64.57 / $69.18	Professional		$4.17	$64.57	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $9.12 / $20.42	Facility		$2.82	$9.12	$20.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $70.79	Professional		$43.65	$43.65	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $64.57	Professional	26	$40.74	$40.74	$64.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $12.02 / $43.65	Facility		$3.63	$12.02	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $100.00	Professional		$34.67	$56.23	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $60.26 / $93.33	Professional	26	$32.36	$60.26	$93.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $85.11	Professional		$38.90	$45.71	$85.11
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $40.74 / $79.43	Professional	26	$20.89	$40.74	$79.43
Fidelis Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.61 / $50,118.72	Facility		$4.37	$6.61	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $100.00	Professional		$48.98	$48.98	$100.00
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $45.71 / $93.33	Professional	26	$23.44	$45.71	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $56.23	Professional		$16.22	$23.44	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.44 / $54.95	Professional	26	$15.85	$23.44	$54.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $53.70 / $53.70	Facility		$40.74	$53.70	$53.70
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $50.12 / $50.12	Facility	26	$26.92	$50.12	$50.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $85.11	Professional		$38.90	$45.71	$85.11
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $79.43	Professional	26	$26.92	$42.66	$79.43