Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $112.00 / $176.93	Facility	26	$85.90	$112.00	$176.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.17 / $420.00 / $668.54	Professional		$270.17	$420.00	$668.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $352.59 / $1,098.71	Professional		$269.73	$352.59	$1,098.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $303.93 / $416.48	Professional		$112.54	$303.93	$416.48
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 $255.61 / $620.63 / $1,360.37	Professional		$255.61	$620.63	$1,360.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $384.07 / $772.63	Professional		$274.82	$384.07	$772.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $429.49 / $560.61	Professional		$247.24	$429.49	$560.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $366.25 / $366.25	Professional		$366.25	$366.25	$366.25
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 $304.98 / $651.77 / $1,260.00	Professional		$304.98	$651.77	$1,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.92 / $360.97 / $837.28	Professional		$248.92	$360.97	$837.28
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 $271.39 / $414.08 / $740.14	Professional		$271.39	$414.08	$740.14