Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $181.97 / $537.03	Facility	26	$141.25	$181.97	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $676.08	Professional		$269.15	$354.81	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $794.33	Professional		$302.00	$371.54	$794.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $416.87	Professional		$173.78	$245.47	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $134.90 / $194.98	Facility	26	$28.84	$134.90	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $1,548.82	Professional		$380.19	$724.44	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $588.84	Professional		$309.03	$407.38	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,096.48	Professional		$239.88	$457.09	$1,096.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,258.93	Professional		$616.60	$741.31	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,148.15	Professional		$407.38	$549.54	$1,148.15
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $138.04 / $295.12	Facility	26	$97.72	$138.04	$295.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $1,000.00	Professional		$239.88	$436.52	$1,000.00