Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.90 / $29.98 / $36.59	Facility	26	$27.90	$29.98	$36.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $65.45 / $213.22	Professional		$47.99	$65.45	$213.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $29.83 / $50.26	Professional	26	$26.07	$29.83	$50.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $57.45 / $225.15	Professional		$45.31	$57.45	$225.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $32.50 / $71.12	Professional	26	$25.63	$32.50	$71.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $170.35 / $215.38	Professional		$45.03	$170.35	$215.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $237.44 / $355.34	Professional		$61.90	$237.44	$355.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.32 / $44.41 / $65.06	Professional	26	$31.32	$44.41	$65.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $179.92 / $333.22	Professional		$43.08	$179.92	$333.22
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $32.06 / $61.01	Professional	26	$24.42	$32.06	$61.01
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $158.02 / $304.36	Professional		$79.34	$158.02	$304.36
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $55.05	Professional	26	$28.27	$28.27	$55.05
United Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $122.09 / $322.83	Professional		$74.06	$122.09	$322.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $32.84 / $74.73	Professional	26	$25.66	$32.84	$74.73
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $33.89 / $33.89 / $34.26	Facility	26	$33.89	$33.89	$34.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $210.84 / $377.84	Professional		$43.08	$210.84	$377.84
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $37.57 / $67.33	Professional	26	$24.42	$37.57	$67.33