Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.66 / $76.33 / $122.82	Facility	26	$47.66	$76.33	$122.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $122.91 / $320.54	Professional		$100.64	$122.91	$320.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $133.72 / $440.50	Professional		$102.30	$133.72	$440.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $101.60 / $178.11	Professional		$76.51	$101.60	$178.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $235.89 / $679.32	Professional		$97.30	$235.89	$679.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $168.81 / $513.55	Professional		$124.53	$168.81	$513.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $145.63 / $254.35	Professional		$98.05	$145.63	$254.35
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $223.02 / $665.00	Professional		$108.55	$223.02	$665.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $152.81 / $509.15	Professional		$106.90	$152.81	$509.15
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $61.39 / $61.39 / $186.18	Facility	26	$61.39	$61.39	$186.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $177.46 / $319.05	Professional		$121.12	$177.46	$319.05