Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.00 / $111.64 / $160.43	Facility	26	$82.00	$111.64	$160.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $441.20 / $723.70	Professional		$241.23	$441.20	$723.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $269.04 / $707.87	Professional		$211.83	$269.04	$707.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $483.45 / $612.09	Professional		$128.63	$483.45	$612.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $485.25 / $1,398.30	Professional		$301.14	$485.25	$1,398.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $422.69 / $566.46 / $803.26	Professional		$422.69	$566.46	$803.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $558.04 / $911.50	Professional		$234.47	$558.04	$911.50
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $496.76 / $1,295.81	Professional		$263.94	$496.76	$1,295.81
United Facility/Professional Professional Modifier Low / Median / High Price $304.44 / $419.92 / $1,136.84	Professional		$304.44	$419.92	$1,136.84
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $116.10 / $116.10 / $278.60	Facility	26	$116.10	$116.10	$278.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $558.04 / $1,069.29	Professional		$234.47	$558.04	$1,069.29