Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.93 / $112.50 / $206.55	Facility	26	$94.93	$112.50	$206.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.80 / $425.00 / $742.82	Professional		$278.80	$425.00	$742.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $359.82 / $1,103.08	Professional		$275.26	$359.82	$1,103.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $313.48 / $426.03	Professional		$112.54	$313.48	$426.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.78 / $649.72 / $1,608.86	Professional		$244.78	$649.72	$1,608.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $384.07 / $769.81	Professional		$279.72	$384.07	$769.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $417.95 / $571.57	Professional		$251.54	$417.95	$571.57
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $672.29 / $1,387.49	Professional		$308.48	$672.29	$1,387.49
United Facility/Professional Professional Modifier Low / Median / High Price $253.35 / $362.17 / $896.37	Professional		$253.35	$362.17	$896.37
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $89.40 / $89.40 / $253.20	Facility	26	$89.40	$89.40	$253.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $423.11 / $757.12	Professional		$276.70	$423.11	$757.12